Individual provider · Type 1 NPI
Anthony Wade Ballard, R.A.S.
Addiction (Substance Use Disorder) Counselor · Yreka, CA
NPI number
1144581950
Active
Practice location
1015 North St
Yreka, CA 96097-2233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | B1205182016 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1144581950
Anthony Wade Ballard, R.A.S.'s National Provider Identifier is 1144581950, issued on Jun 7, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Yreka, CA. The record was last updated on Jun 16, 2025.