Ballard, Jockuela

Ballard, Jockuela is an individual health care provider with primary practice located at 2420 Martin Rd Ste 200 , Fairfield CA 94534-8610. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Ballard, Jockuela can be contacted via phone (707) 399-4520.

Contact Information

Primary practice address
2420 Martin Rd Ste 200 Fairfield CA 94534-8610
Phone: (707) 399-4520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Peer Specialist 175T00000X California

Profile Details

NPI number 1245638121
LBN Legal business name Ballard, Jockuela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2014
Last updated Jul 5th, 2023 - about 3 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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