Fanta Ballard
Fanta Ballard is an Addiction (Substance Use Disorder) Counselor in Anaheim, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
1320 W Pearl StAnaheim, CA 92801-5941
Phone: (714) 780-1174
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 1502920323 (CA) |
|---|
Record details
| NPI number | 1770307621 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 7, 2024 |
| Last updated in NPPES | November 7, 2024 |
| Certification date | November 7, 2024 |
| Mailing address | 1320 W Pearl St, Anaheim, CA 92801-5941 |
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