Ballard, Angela Susan

Ballard, Angela Susan is an sole proprietor health care provider with primary practice located at 1033 Laurel St , San Carlos CA 94070-3918. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ballard, Angela Susan can be contacted via phone (650) 785-2562.

Contact Information

Primary practice address
1033 Laurel St San Carlos CA 94070-3918
Phone: (650) 785-2562
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X LMFT120205 California

Profile Details

NPI number 1013431899
LBN Legal business name Ballard, Angela Susan
Credentials LMFT 120205, PCCI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2017
Last updated Jul 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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