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Latisha Dianne Ballard
Marriage & Family Therapist in Barstow, California
NPI 1487173001

Latisha Dianne Ballard is a Marriage & Family Therapist based in Barstow, CA. Latisha Dianne Ballard practices in Barstow, CA. The NPI Number for Latisha Dianne Ballard is 1487173001 and holds a License No. 3171 (California).

The current practice location address for Latisha Dianne Ballard is 222 E Main St Ste 117, Barstow, CA and can be reached out via phone at 760-255-1496 and via fax at 760-255-2542.

Location: 222 E Main St Ste 117, Barstow, CA, 92311-2365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487173001
Provider Name
Latisha Dianne Ballard
Credential
Provider Entity Type
Individual
Gender
Female
Address
222 E Main St Ste 117, Barstow, CA, 92311-2365
Phone Number
760-255-1496
Fax Number
760-255-2542
Provider Enumeration Date
09/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
222 E Main St Ste 117
City
Barstow
State
California
Zip
92311-2365
Phone Number
760-255-1496
Fax Number
760-255-2542
person
Provider Business Mailing Address Details
Address
222 E Main St Ste 117
City
Barstow
State
California
Zip
92311-2365
Phone Number
760-255-1496
Fax Number
760-255-2542
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
92717 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
3171 (California)
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 supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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