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MS. REBA ELLEN BALES LPC, CPCS

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1679880181

Individual Registrant:
MS. REBA ELLEN BALES LPC, CPCS
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

Contact information for business:
108 E 5TH AVE STE B ROME, GA 30161-3128 US
Tel: 706-509-0130  Fax: 706-237-6503

Registration Information:
NPI: 1679880181
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
GA1530
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
GALPC001530

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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