Individual provider · Type 1 NPI

Traci Denise Ballard, MA, MPA, LLPC

Mental Health Counselor · Detroit, MI

NPI number 1336695733 Active

Practice location

79 W Alexandrine St
Detroit, MI 48201-2015

Call (313) 831-5535 Map

Fax (313) 831-2608

Specialties and licenses

TaxonomyCodeLicense
Other Technician 247200000XNone listed
Mental Health Counselor Primary 101YM0800X6401016840 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1336695733

Traci Denise Ballard, MA, MPA, LLPC's National Provider Identifier is 1336695733, issued on Aug 26, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Detroit, MI. The record was last updated on Feb 15, 2020.