KELLY JANESE BALLANTINE

LAKELAND, FL
NPI1649576596
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH8819)
Enumeration Date2011-02-09
Last Update Date2015-06-22
Business Address
-- KELLY JANESE BALLANTINE LMHC
1835 GILMORE AVE
LAKELAND, FL 33805-3017
Phone number: 863-519-0575
Mailing Address
-- KELLY JANESE BALLANTINE LMHC
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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