Individual provider · Type 1 NPI

Bridgett Ballisty

Mental Health Counselor · Gilroy, CA

NPI number 1356697254 Active

Practice location

7877 Wren Ave, Suite A
Gilroy, CA 95020-4980

Call (408) 905-6594 Map

Mailing address

230 E Dunne Ave, Apt #1322
Morgan Hill, CA 95037-4654

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1356697254

Bridgett Ballisty's National Provider Identifier is 1356697254, issued on Jul 28, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gilroy, CA. The record was last updated on Oct 28, 2013.