Individual
MS. JILL K. BALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC, CFT, CACD
Contact information
Practice address
327 N WASHINGTON AVE, SUITE 105, SCRANTON, PA 18503-1549
(570) 909-9324
Mailing address
327 N. WASHINGTON AVE., SUITE 105, SCRANTON, PA 18503
(570) 909-9324
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/30/2009
Last updated
05/04/2009
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