Individual
MR. THAD HAOROLD BALLSMIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
1601 E COLLEGE WAY, MOUNT VERNON, WA 98273-5612
(360) 763-5595
(360) 399-7639
Mailing address
11459 HAVEKOST RD, ANACORTES, WA 98221-8798
(360) 420-3297
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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