Individual provider · Type 1 NPI

Jockuela Ballard

Peer Specialist · Fairfield, CA

NPI number 1245638121 Active

Practice location

2420 Martin Rd Ste 200
Fairfield, CA 94534-8610

Call (707) 399-4520 Map

Other practice locations

  • 2275 Arlington Dr, San Leandro, CA 94578-1132 · (510) 317-1444

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist 175T00000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1245638121

Jockuela Ballard's National Provider Identifier is 1245638121, issued on Dec 9, 2014. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fairfield, CA. The record was last updated on Jul 5, 2023.