Search › Louisiana › 171M00000X
Shundarrius Ballard
NPI 1841994100 · on the registry since 2023
Practice
- Address
- 626 E Jefferson Ave
Bastrop, LA 71220 - Phone
- (318) 239-2325
- Fax
- (318) 239-2327
- Organisation at this address
- First Choice Counseling, Llc
One22 Craft Advisors CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 1204 Stubbs Ave Ste B, Monroe, LA
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana