Individual provider · Type 1 NPI

Roger Ashman Ballou, PhD, LMFT, LPC

Marriage & Family Therapist · Minneapolis, MN

NPI number 1609959006 Active

Practice location

2900 Thomas Ave S, Apartment 1526
Minneapolis, MN 55416-4477

Call (651) 246-7592 Map

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X723 (WI)
Marriage & Family Therapist 106H00000X1130 (MN)
Marriage & Family Therapist 106H00000X203 (NH)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1609959006

Roger Ashman Ballou, PhD, LMFT, LPC's National Provider Identifier is 1609959006, issued on Oct 23, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 30, 2016.