person
Jack Patrick Ballum
Addiction (Substance Use Disorder) Counselor in Needles, California
NPI 1437493483

Jack Patrick Ballum is an Addiction (Substance Use Disorder) Counselor based in Needles, CA and is specialized in Addiction (Substance Use Disorder). Jack Patrick Ballum practices in Needles, CA. The NPI Number for Jack Patrick Ballum is 1437493483 and holds a License No. (California).

The current practice location address for Jack Patrick Ballum is 300 H St, Needles, CA and can be reached out via phone at 760-326-4590 and via fax at 760-326-3154.

Location: 300 H St, Needles, CA, 92363-2928
person
Provider Profile Details
NPI Number
1437493483
Provider Name
Jack Patrick Ballum
Credential
Provider Entity Type
Individual
Gender
Male
Address
300 H St, Needles, CA, 92363-2928
Phone Number
760-326-4590
Fax Number
760-326-3154
Provider Enumeration Date
11/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 H St
City
State
Zip
92363-2928
Phone Number
760-326-4590
Fax Number
760-326-3154
person
Provider Business Mailing Address Details
Address
300 H St
City
State
Zip
92363-2928
Phone Number
760-326-4590
Fax Number
760-326-3154
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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