Individual provider · Type 1 NPI
Mishale Ann Rede Ballinger, APCC, LPCC
Professional Counselor · Santa Rosa, CA
NPI number
1780297101
Active
Practice location
405 Jackson Dr
Santa Rosa, CA 95409-4209
Mailing address
4690 Gravenstein Hwy N
Sebastopol, CA 95472-2242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1780297101
Mishale Ann Rede Ballinger, APCC, LPCC's National Provider Identifier is 1780297101, issued on Aug 25, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 25, 2020.