Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Patrick Ballum

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1437493483

Jack Patrick Ballum is an Addiction (Substance Use Disorder) Counselor in Needles, California. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

300 H St
Needles, CA 92363-2928
Phone: (760) 326-4590
Fax: (760) 326-3154
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1437493483
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012
Mailing address300 H St, Needles, CA 92363-2928

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