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Theresa Ballas, LAC
Counselor in Glassboro, New Jersey
NPI 1073069985

Theresa Ballas is a Counselor based in Glassboro, NJ. Theresa Ballas practices in Glassboro, NJ and has the professional credentials of LAC. The NPI Number for Theresa Ballas is 1073069985 and holds a License No. 37AC00300100 (New Jersey).

The current practice location address for Theresa Ballas is 42 Delsea Dr S, Glassboro, NJ and can be reached out via phone at 856-881-8689 and via fax at 856-881-5508.

Location: 42 Delsea Dr S, Glassboro, NJ, 08028-2621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073069985
Provider Name
Theresa Ballas
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
42 Delsea Dr S, Glassboro, NJ, 08028-2621
Phone Number
856-881-8689
Fax Number
856-881-5508
Provider Enumeration Date
08/31/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
42 Delsea Dr S
City
Glassboro
State
New Jersey
Zip
08028-2621
Phone Number
856-881-8689
Fax Number
856-881-5508
person
Provider Business Mailing Address Details
Address
42 Delsea Dr S
City
Glassboro
State
New Jersey
Zip
08028-2621
Phone Number
856-881-8689
Fax Number
856-881-5508
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
101YP2500X (New Jersey)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
37AC00300100 (New Jersey)
Definition
Definition to come...
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