PHILLIP BALLASCH

MODESTO, CA
NPI1417470154
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  B1211161326)
Enumeration Date2017-07-25
Last Update Date2025-05-13
Business Address
PHILLIP BALLASCH
1581 CUMMINS DR STE 147
MODESTO, CA 95358-6402
Phone number: 209-602-0572
Mailing Address
PHILLIP BALLASCH
1231 8TH ST STE 300
MODESTO, CA 95354-2235
Phone number:
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