Jean D Ballou is a Clinical in Missoula, Montana. Jean D Ballou practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jean D Ballou is 1699836296. The last update date is 2007-07-08.
Jean D Ballou's current location address is 210 N Higgins Ave Ste 314, Missoula, Montana. You can contact this provider via phone number 4065439566. The mailing address for Jean D Ballou is 210 N Higgins Ave Ste 314, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean D Ballou |
|---|---|
| Address | 210 N Higgins Ave Ste 314, Missoula, Montana |
| Phone Number | 4065439566 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1699836296 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 210 N Higgins Ave Ste 314 |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598024443 |
| Phone Number | 4065439566 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 27LCSW |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 503295 | MT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jean D Ballou by the Centers for Medicare & Medicaid Services?
The Jean D Ballou has been assigned the NPI (National Provider Identifier) 1699836296 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jean D Ballou?
The Jean D Ballou is physically situated at 210 N Higgins Ave Ste 314, in the city of Missoula, state of MT, with the postal code 598024443.
What is Jean D Ballou's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jean D Ballou is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Jean D Ballou receive the assignment of its 1699836296 from the Centers for Medicare & Medicaid Services?
The Jean D Ballou was issued its 1699836296 by the Centers for Medicare & Medicaid Services on 2006-12-13.
When was the information pertaining to Jean D Ballou most recently updated or revised?
The details related to Jean D Ballou, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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