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Stacey Balla
Mental Health Counselor in Kuna, Idaho
NPI 1679903199

Stacey Balla is a Mental Health Counselor based in Kuna, ID and is specialized in Mental Health. Stacey Balla practices in Kuna, ID. The NPI Number for Stacey Balla is 1679903199 and holds a License No. 40516 (Idaho).

The current practice location address for Stacey Balla is 145 E Deer Flat Rd, Kuna, ID and can be reached out via phone at 208-922-9001.

Location: 145 E Deer Flat Rd, Kuna, ID, 83634-4856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679903199
Provider Name
Stacey Balla
Credential
Provider Entity Type
Individual
Gender
Female
Address
145 E Deer Flat Rd, Kuna, ID, 83634-4856
Phone Number
208-922-9001
Fax Number
Provider Enumeration Date
11/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
145 E Deer Flat Rd
City
Kuna
State
Idaho
Zip
83634-1323
Phone Number
208-922-9001
Fax Number
person
Provider Business Mailing Address Details
Address
145 E Deer Flat Rd
City
Kuna
State
Idaho
Zip
83634-1323
Phone Number
208-922-9001
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
40516 (Idaho)
Definition
Definition to come...
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