Individual provider · Type 1 NPI

Rebecca Ballard, BA

Addiction (Substance Use Disorder) Counselor · Pontiac, IL

NPI number 1942936695 Active

Practice location

920 W Custer Ave
Pontiac, IL 61764-1067

Fax (815) 844-3561

Mailing address

PO Box 768
Pontiac, IL 61764-0768

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 1942936695

Rebecca Ballard, BA's National Provider Identifier is 1942936695, issued on Jul 26, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pontiac, IL. The record was last updated on Jun 27, 2024.