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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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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