KEVIN BALLARD

SAN LUIS OBISPO, CA
NPI1821725151
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2022-08-05
Last Update Date2023-04-11
Business Address
KEVIN BALLARD
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401-8750
Phone number: 805-781-3535
Mailing Address
KEVIN BALLARD
2600 SOLANO RD APT B
PISMO BEACH, CA 93449-1752
Phone number: 805-440-5126
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