JAKE BALLARD

SANTA MARIA, CA
NPI1053027854
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Ci48150725)
Enumeration Date2023-01-25
Last Update Date2025-10-14
Business Address
JAKE BALLARD
115 E FESLER ST
SANTA MARIA, CA 93454-4404
Phone number: 805-922-6597
Mailing Address
JAKE BALLARD
115 E FESLER ST
SANTA MARIA, CA 93454-4404
Phone number: 805-922-6597
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