person
Jonathan Ballou, BA
Mental Health Counselor in Brockton, Massachusetts
NPI 1669810354

Jonathan Ballou is a Mental Health Counselor based in Bridgewater, MA and is specialized in Mental Health. Jonathan Ballou practices in Brockton, MA and has the professional credentials of BA. The NPI Number for Jonathan Ballou is 1669810354 and holds a License No. (Massachusetts).

The current practice location address for Jonathan Ballou is 1115 W Chestnut St, Brockton, MA and can be reached out via phone at 508-580-4691.

Location: 1115 W Chestnut St, Brockton, MA, 02324-1429
person
Provider Profile Details
NPI Number
1669810354
Provider Name
Jonathan Ballou
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
1115 W Chestnut St, Brockton, MA, 02324-1429
Phone Number
508-580-4691
Fax Number
Provider Enumeration Date
06/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1115 W Chestnut St
City
State
Zip
02301-7501
Phone Number
508-580-4691
Fax Number
person
Provider Business Mailing Address Details
Address
1115 W Chestnut St
City
State
Zip
02301-7501
Phone Number
508-580-4691
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Massachusetts)
Definition
Definition to come...
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