Ballard, Joanna Lea
Ballard, Joanna Lea is an individual health care provider with primary practice located at 1175 E Main St Ste C1 , Medford OR 97504-7457. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Counselor. Other Service Providers / Peer Specialist is her primary health care specialty. Ballard, Joanna Lea can be contacted via phone (541) 772-0127.Contact Information
Primary practice address
1175 E Main St Ste C1
Medford OR 97504-7457
Phone: (541) 772-0127
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | Oregon | |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Oregon |
Profile Details
| NPI number | 1336597541 |
|---|---|
| LBN Legal business name | Ballard, Joanna Lea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2016 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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