Michelle Lynn Ballard
Social Worker, Clinical in Ontario, CA. Individual provider (NPI-1).
NPI number1982900783
StatusActive
Last updated in NPPESAug 27, 2021
Details
- NPI
- 1982900783
- Entity type
- Individual (NPI-1)
- Name
- Michelle Lynn Ballard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2011
- Certification date
- Aug 27, 2021
- Last updated
- Aug 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 75676 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
3200 E Guasti Rd Ste 100Ontario, CA 91761-8661
Phone 909-248-4412
Mailing address
7353 Ellena WUnit 82
Rancho Cucamonga, CA 91730-8367
Phone 760-946-8200 · Fax 760-946-8208
Other practice locations
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