Jason Ballou, LCDP
Jason Ballou, LCDP is an Addiction (Substance Use Disorder) Counselor in Woonsocket, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2016.
- Licensed in
- RI
- In the registry since
- 2016
Practice location Address checks out
55 Cummings WayWoonsocket, RI 02895-3247
Phone: (401) 235-7000
Fax: (401) 767-4516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CDP00623 (RI) |
|---|
Record details
| NPI number | 1336505106 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCDP |
| Sole proprietor | No |
| NPI enumerated | January 11, 2016 |
| Last updated in NPPES | January 11, 2016 |
| Mailing address | Po Box 1700, Woonsocket, RI 02895-0856 |
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