Individual provider · Type 1 NPI

Craig Balletta

Mental Health Counselor · Mount Shasta, CA

NPI number 1063732345 Active

Practice location

1107 Ream Ave
Mount Shasta, CA 96067-9768

Call (530) 926-1436 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063732345

Craig Balletta's National Provider Identifier is 1063732345, issued on Jun 9, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mount Shasta, CA. The record was last updated on Jun 9, 2010.