Individual
JORDANA MIKHAEL BALLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CAADC, C-DBT
Contact information
Practice address
8009 UNDERWOOD RDG, TRAVERSE CITY, MI 49686-1690
(202) 733-8728
Mailing address
8009 UNDERWOOD RDG, TRAVERSE CITY, MI 49686-1690
(202) 733-8728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C-03997
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
01
—
568946544
BCBS
—
01
—
5874
HEALTH PARTNERS
—
Enumeration date
11/09/2022
Last updated
11/09/2022
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