Individual
JILL ANDREA BALLESTEROS- BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 3RD ST NE, WASHINGTON, DC 20002-6274
(202) 468-8823
Mailing address
3205 HELENA SPRINGS AVE APT G, AUGUSTA, GA 30909-9350
(323) 392-2190
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC013744
GA
101YP2500X
Professional Counselor
Primary
PRC200001884
DC
Other
Enumeration date
09/16/2019
Last updated
06/20/2024
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