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Warren Other Ballentine
Peer Specialist in Chicago, Illinois
NPI 1245913987

Warren Other Ballentine is a Peer Specialist based in Chicago, IL. Warren Other Ballentine practices in Chicago, IL. The NPI Number for Warren Other Ballentine is 1245913987 and holds a License No. (Illinois).

The current practice location address for Warren Other Ballentine is 219 W Chicago Ave, Chicago, IL and can be reached out via phone at 919-672-1818.

Location: 219 W Chicago Ave, Chicago, IL, 60654-5600
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Provider Profile Details
NPI Number
1245913987
Provider Name
Warren Other Ballentine
Credential
Provider Entity Type
Individual
Gender
Male
Address
219 W Chicago Ave, Chicago, IL, 60654-5600
Phone Number
919-672-1818
Fax Number
Provider Enumeration Date
08/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
219 W Chicago Ave
City
State
Zip
60654-5600
Phone Number
919-672-1818
Fax Number
person
Provider Business Mailing Address Details
Address
219 W Chicago Ave
City
State
Zip
60654-5600
Phone Number
919-672-1818
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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