Phillip Ballasch
Phillip Ballasch is an Addiction (Substance Use Disorder) Counselor in Modesto, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
1581 Cummins Dr Ste 147Modesto, CA 95358-6402
Phone: (209) 602-0572
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence B1211161326 (CA) |
|---|
Record details
| NPI number | 1417470154 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 25, 2017 |
| Last updated in NPPES | May 13, 2025 |
| Certification date | May 13, 2025 |
| Mailing address | 1231 8th St Ste 300, Modesto, CA 95354-2235 |
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