Ivan L Ballard, CDCA

NPI #1003351412 in Lima, Ohio

Provider Information

NPI Number
1003351412
Entity Type
Individual
Name
Ivan L Ballard, CDCA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CDCA
Enumeration Date
Dec 21, 2016
Last Updated
Dec 21, 2016

Practice Location

Address
311 E MARKET ST
City
Lima
State
Ohio
ZIP Code
45801-4535
Phone
(419) 222-4474

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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