Individual provider · Type 1 NPI

Jack Patrick Ballum

Addiction (Substance Use Disorder) Counselor · Needles, CA

NPI number 1437493483 Active

Practice location

300 H St
Needles, CA 92363-2928

Call (760) 326-4590 Map

Fax (760) 326-3154

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1437493483

Jack Patrick Ballum's National Provider Identifier is 1437493483, issued on Nov 15, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Needles, CA. The record was last updated on Nov 15, 2012.