Individual provider · Type 1 NPI

Stephanie Ballman

Mental Health Counselor · Portland, OR

NPI number 1134464639 Active

Practice location

2375 NW Glisan St
Portland, OR 97210-3420

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Adult Companion 372600000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1134464639

Stephanie Ballman's National Provider Identifier is 1134464639, issued on Dec 10, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 7, 2013.