Individual
JACQUELINE BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
210 S 1ST ST, KNOXVILLE, IA 50138-2301
(641) 891-4997
Mailing address
210 S 1ST ST, KNOXVILLE, IA 50138-2301
(641) 891-4997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
0009922098
CO
104100000X
Social Worker
121270
IA
Other
Enumeration date
02/02/2016
Last updated
07/26/2023
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