Most Relevant Information
Provider Data
| NPI Number: | 1003487570 |
| Provider Name: | KATIE BALLARD |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 2020040695 |
Most Important Dates
| Enumeration Date: | 07/06/2021 |
| Last Updated: | 07/06/2021 |
Provider Practice Location
3743 MAIN ST
KANSAS CITY
MO
641111912
Practice Location Phone/Fax
| Phone: | 8168067107 |
| Fax: |
Provider Mailing Location
3743 MAIN ST
KANSAS CITY
MO
641111912
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |