person
Dr. Diana Ballard, PHD
Pastoral Counselor in Staten Island, New York
NPI 1114465564

Diana Ballard is a Pastoral Counselor based in Staten Island, NY and is specialized in Pastoral. Diana Ballard practices in Staten Island, NY and has the professional credentials of PHD. The NPI Number for Diana Ballard is 1114465564 and holds a License No. BCCC#0557 (New York).

The current practice location address for Diana Ballard is 510 Travis Ave, Staten Island, NY and can be reached out via phone at 917-763-2476 and via fax at 718-370-3534.

Location: 510 Travis Ave, Staten Island, NY, 10314-6154
person
Provider Profile Details
NPI Number
1114465564
Provider Name
Diana Ballard
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
510 Travis Ave, Staten Island, NY, 10314-6154
Phone Number
917-763-2476
Fax Number
718-370-3534
Provider Enumeration Date
02/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
510 Travis Ave
City
State
Zip
10314-6154
Phone Number
917-763-2476
Fax Number
718-370-3534
person
Provider Business Mailing Address Details
Address
510 Travis Ave
City
State
Zip
10314-6154
Phone Number
917-763-2476
Fax Number
718-370-3534
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
BCCC#0557 (New York)
Definition
Definition to come...
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