Individual provider · Type 1 NPI

David Ballard, MA, LAC, NCC

Mental Health Counselor · Surprise, AZ

NPI number 1407440175 Active

Practice location

18789 N Reems Rd Ste 260
Surprise, AZ 85374-8648

Mailing address

PO Box 21275
Wickenburg, AZ 85358-6275

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407440175

David Ballard, MA, LAC, NCC's National Provider Identifier is 1407440175, issued on Feb 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Surprise, AZ. The record was last updated on Feb 23, 2021.