Provider Demographics
NPI:1285836700
Name:BALLARD, SARAH JEAN (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JEAN
Last Name:BALLARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 E ARAPAHOE RD STE 303
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1263
Mailing Address - Country:US
Mailing Address - Phone:720-254-5230
Mailing Address - Fax:303-662-0802
Practice Address - Street 1:7600 E ARAPAHOE RD STE 303
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1263
Practice Address - Country:US
Practice Address - Phone:720-254-5230
Practice Address - Fax:303-662-0802
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4541101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional