THAD HAOROLD BALLSMIDER

MOUNT VERNON, WA
NPI1649066218
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-04-18
Last Update Date2025-04-18
Business Address
Mr. THAD HAOROLD BALLSMIDER SUDPT
1601 E COLLEGE WAY
MOUNT VERNON, WA 98273-5612
Phone number: 360-763-5595
Mailing Address
Mr. THAD HAOROLD BALLSMIDER SUDPT
11459 HAVEKOST RD
ANACORTES, WA 98221-8798
Phone number: 360-420-3297