Jack Patrick Ballum
NPI #1437493483 in Needles, California
Provider Information
- NPI Number
- 1437493483
- Entity Type
- Individual
- Name
- Jack Patrick Ballum
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Nov 15, 2012
- Last Updated
- Nov 15, 2012
Practice Location
- Address
- 300 H ST
- City
- Needles
- State
- California
- ZIP Code
- 92363-2928
- Phone
- (760) 326-4590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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