STACEY BALLA
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1679903199- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 190 W. MAIN ST., KUNA, ID, 83634
- Phone
- (702) 582-2130
Specialties & Taxonomies
Counselor, Mental Health
Primary License: ID #40516
Social Worker
License: ID