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Individual

DANNY BALLANTYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11821 STATE ROUTE 160, VINTON, OH 45686-9009
(740) 245-3051
(740) 245-3052
Mailing address
11821 STATE ROUTE 160, VINTON, OH 45686-9009
(740) 245-3051
(740) 245-3052

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.169219
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0145313
OH
01
1932592839
NPI
Enumeration date
09/24/2019
Last updated
09/24/2019
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