JASON MICHAEL BALLOU

LOS ANGELES, CA
NPI1265152441
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2022-08-30
Last Update Date2025-10-06
Business Address
Mr. JASON MICHAEL BALLOU LCSW
1625 SCHRADER BLVD
LOS ANGELES, CA 90028-6213
Phone number: 323-993-7500
Mailing Address
Mr. JASON MICHAEL BALLOU LCSW
1625 SCHRADER BLVD
LOS ANGELES, CA 90028-6213
Phone number: