Individual
MR. JACOB BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
24799 LANSING LN, MIDDLETON, ID 83644-5341
(208) 742-4229
Mailing address
4412 S CHINOOK AVE, BOISE, ID 83709-5500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4981810
ID
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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