person
Lisa Dianne Ball, PROVISIONALLPC
Mental Health Counselor in Bridgeport, West Virginia
NPI 1679284939

Lisa Dianne Ball is a Mental Health Counselor based in Bridgeport, WV and is specialized in Mental Health. Lisa Dianne Ball practices in Bridgeport, WV and has the professional credentials of PROVISIONALLPC. The NPI Number for Lisa Dianne Ball is 1679284939 and holds a License No. 772 (West Virginia).

The current practice location address for Lisa Dianne Ball is 120 Professional Pl, Bridgeport, WV and can be reached out via phone at 304-460-5123.

Location: 120 Professional Pl, Bridgeport, WV, 26330-4599
person
Provider Profile Details
NPI Number
1679284939
Provider Name
Lisa Dianne Ball
Credential
PROVISIONALLPC
Provider Entity Type
Individual
Gender
Female
Address
120 Professional Pl, Bridgeport, WV, 26330-4599
Phone Number
304-460-5123
Fax Number
Provider Enumeration Date
12/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 Professional Pl
City
State
Zip
26330-4599
Phone Number
304-460-5123
Fax Number
person
Provider Business Mailing Address Details
Address
120 Professional Pl
City
State
Zip
26330-4599
Phone Number
304-460-5123
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
772 (West Virginia)
Definition
Definition to come...
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