| Ballan Counseling A Licensed Clinical Social Worker Corporation | |
|
11911 186th St Artesia CA 90701 | |
| (562) 384-4080 | |
| Not Available |
| Full Name | Ballan Counseling A Licensed Clinical Social Worker Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11911 186th St, Artesia, California |
| Authorized Official Name and Position | Alex Ballan (CEO) |
| Authorized Official Contact | 5623844080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballan Counseling A Licensed Clinical Social Worker Corporation 13337 South St Ste 16 Cerritos CA 90703-7308 Ph: (562) 384-4080 | Ballan Counseling A Licensed Clinical Social Worker Corporation 11911 186th St Artesia CA 90701 Ph: (562) 384-4080 |
| NPI Number | 1265011803 |
|---|---|
| Provider Enumeration Date | 04/02/2021 |
| Last Update Date | 04/02/2021 |
| Certification Date | 03/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265011803 | NPI | - | NPPES |
| 6344442 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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