| Jack Patrick Ballum, | |
|
300 H St, Needles, CA 92363-2928 | |
| (760) 326-4590 | |
| (760) 326-3154 |
| Full Name | Jack Patrick Ballum |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 300 H St, Needles, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437493483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Patrick Ballum, 300 H St, Needles, CA 92363-2928 Ph: (760) 326-4590 | Jack Patrick Ballum, 300 H St, Needles, CA 92363-2928 Ph: (760) 326-4590 |
Cynthia Hess, MHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Bailey Ave, Suite 2, Needles, CA 92363 Phone: 760-326-9313 Fax: 760-326-9259 | |
Patricia Munson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 H St, Needles, CA 92363 Phone: 760-326-4590 Fax: 760-326-3154 | |
Ashley Wren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 H St, Needles, CA 92363 Phone: 760-326-4590 | |
Donald Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 California Ave, Needles, CA 92363 Phone: 760-326-4590 Fax: 760-326-3154 | |
Melissa Rempp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 H St, Needles, CA 92363 Phone: 760-326-4590 Fax: 760-326-3154 | |
Di Lucas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 H St, Needles, CA 92363 Phone: 760-326-4590 Fax: 760-326-3154 | |
Mrs. Mistydae Paget, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 H St, Needles, CA 92363 Phone: 760-326-4590 Fax: 760-326-3154 |