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MS. REBA ELLEN BALES LPC, CPCS
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1679880181
Individual Registrant:MS. REBA ELLEN BALES LPC, CPCS
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
306 N THORNTON AVE DALTON, GA 30720-3259 US
Tel: 706-509-0130 Fax: 706-237-6503
Tel: 706-509-0130 Fax: 706-237-6503
Contact information for business:
108 E 5TH AVE STE B ROME, GA 30161-3128 US
Tel: 706-509-0130 Fax: 706-237-6503
Tel: 706-509-0130 Fax: 706-237-6503
Registration Information:
NPI: 1679880181
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | GA | 1530 |
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor | GA | LPC001530 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
