Individual
JENNIFER LYNN BALLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14216 NE 21ST ST, BELLEVUE, WA 98007-3720
(425) 653-4900
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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