Carilee Ball, LPC

Individual provider Active NPI Professional Counselor · Salem, MO

NPI 1336688654 · NPPES record last updated Feb 20, 2017

Key facts

NPI
1336688654
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2013042053 (MO)
Practice address
838 County Road 3233
Salem, MO 65560-0473
Phone
(573) 247-2300
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2013042053MOMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2013042053 MO Yes

Addresses

Primary practice location

838 County Road 3233
Salem, MO 65560-0473

Mailing address

PO Box 473
Salem, MO 65560-0473
Phone (573) 247-2300

Other providers in Salem, MO

All providers in Salem, MO · Professional Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.