Jeffrey Blake Ballou in Eau Claire - Counselor
Jeffrey Blake Ballou - NPI 1013087675
Jeffrey Blake Ballou is a Counselor in Eau Claire, Wisconsin. Jeffrey Blake Ballou practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jeffrey Blake Ballou is 1013087675. The last update date is 2007-07-08.
Jeffrey Blake Ballou's current location address is 1320 W Clairemont Ave, Eau Claire, Wisconsin. You can contact this provider via phone number 7158342046 and fax number 7158347563. The mailing address for Jeffrey Blake Ballou is 1320 W Clairemont Ave, Eau Claire, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Blake Ballou |
|---|---|
| Address | 1320 W Clairemont Ave, Eau Claire, Wisconsin |
| Phone Number | 7158342046 |
| Fax Number | 7158347563 |
| Sole Proprietor | N |
| Credentials | LCP, LP |
NPI Number Detail
| NPI Number | 1013087675 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1320 W Clairemont Ave |
|---|---|
| City | Eau Claire |
| State | Wisconsin (WI) |
| Post Code | 547014566 |
| Phone Number | 7158342046 |
| Fax Number | 7158347563 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 591-125 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39259800 | WI | -- |
Post Comment/ Review Below
What is the Jeffrey Blake Ballou's unique identification number?
The Jeffrey Blake Ballou has been assigned the NPI (National Provider Identifier) Number 1013087675 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Jeffrey Blake Ballou is geographically located?
The Jeffrey Blake Ballou is physically situated at the following location: 1320 W Clairemont Ave, Eau Claire, WI, 547014566.
What is Jeffrey Blake Ballou's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffrey Blake Ballou's specialized field of practice is Counselor, and the corresponding taxonomy code that categorizes this area of specialization is 101Y00000X.
On what date did Jeffrey Blake Ballou receive its 1013087675 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey Blake Ballou was assigned its 1013087675 on 2006-11-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jeffrey Blake Ballou, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeffrey Blake Ballou, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.