Individual
MR. STEPHEN JOSEPH BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS-A
Contact information
Practice address
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4127
(336) 842-6980
(336) 842-6984
Mailing address
2706 N CHURCH ST, GREENSBORO, NC 27405-3657
(336) 272-9990
(336) 842-6984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26233
NC
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
LCAS-26233
NC
Other
Enumeration date
02/24/2020
Last updated
12/08/2020
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