JASON BALLOU

WOONSOCKET, RI
NPI1336505106
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  CDP00623)
Enumeration Date2016-01-11
Last Update Date2016-01-11
Business Address
-- JASON BALLOU LCDP
55 CUMMINGS WAY
WOONSOCKET, RI 02895-3247
Phone number: 401-235-7000
Mailing Address
-- JASON BALLOU LCDP
PO BOX 1700
WOONSOCKET, RI 02895-0856
Phone number: 401-235-7000
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