Leslie Ballan in Richmond - Marriage & Family Therapist
Leslie Ballan - NPI 1689735995
Leslie Ballan is a Marriage & Family Therapist in Richmond, California. Leslie Ballan practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Leslie Ballan is 1689735995. The last update date is 2013-09-19.
Leslie Ballan's current location address is 6055 Monterey Ave, Richmond, California. You can contact this provider via phone number 5103671229. The mailing address for Leslie Ballan is 6055 Monterey Ave, Richmond, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Ballan |
|---|---|
| Address | 6055 Monterey Ave, Richmond, California |
| Phone Number | 5103671229 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1689735995 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2013-09-19 |
Provider Mailing Address Detail
| Address | 6055 Monterey Ave |
|---|---|
| City | Richmond |
| State | California (CA) |
| Post Code | 948051224 |
| Phone Number | 5103671229 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC28896 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identifier code assigned to Leslie Ballan by the Centers for Medicare & Medicaid Services?
The Leslie Ballan has been issued the NPI (National Provider Identifier) 1689735995 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Leslie Ballan?
The Leslie Ballan is situated at 6055 Monterey Ave, in the city of Richmond, state of CA, with the zip code 948051224.
What is Leslie Ballan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Leslie Ballan is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.
On what date did the Leslie Ballan receive its 1689735995 assignment from the Centers for Medicare & Medicaid Services?
The Leslie Ballan was assigned its 1689735995 by the Centers for Medicare & Medicaid Services on 2006-12-12.
As of what date were the details related to Leslie Ballan most recently updated or revised?
The information pertaining to Leslie Ballan, including its address, specialty, and other relevant details, was last updated or revised on 2013-09-19.