ANTHONY WADE BALLARD

REDDING, CA
NPI1144581950
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  B1205182016)
Enumeration Date2012-06-07
Last Update Date2012-06-07
Business Address
Mr. ANTHONY WADE BALLARD R.A.S.
755 LAKE BLVD
REDDING, CA 96003-2235
Phone number: 530-229-1704
Mailing Address
Mr. ANTHONY WADE BALLARD R.A.S.
755 LAKE BLVD
REDDING, CA 96003-2235
Phone number: 530-229-1704
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