Individual
NICOLE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 E MOUNTAIN ST, WORCESTER, MA 01606-1400
(617) 661-3991
Mailing address
29 E MOUNTAIN ST, WORCESTER, MA 01606-1400
(617) 661-3991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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