Jessica Lynn Ballard

NPI #1962635086 in Radcliff, Kentucky

Provider Information

NPI Number: 1962635086
Entity Type: Individual
Name: Jessica Lynn Ballard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 25, 2009
Last Updated: Aug 25, 2009

Practice Location

Address: 1072 S DIXIE BLVD
City: Radcliff
State: Kentucky
ZIP Code: 40160-1103
Phone: (270) 351-8166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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