JASON W BALLS

POCATELLO, ID
NPI1124448675
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-04-23
Last Update Date2014-04-23
Business Address
-- JASON W BALLS
353 N 4TH AVE STE 110
POCATELLO, ID 83201-6390
Phone number: 208-233-7832
Mailing Address
-- JASON W BALLS
353 N 4TH AVE STE 110
POCATELLO, ID 83201-6390
Phone number: 208-233-7832
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