Christina N Ballantyne
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Mount Vernon, OH
NPI 1013499375 · NPPES record last updated Oct 18, 2018
Key facts
- NPI
- 1013499375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.168090 (OH)
- Practice address
- 213 E Chestnut St
Mount Vernon, OH 43050-3404 - Phone
- (740) 326-9255
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.168090 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.168090 | OH | Yes |
Addresses
Primary practice location
213 E Chestnut St
Mount Vernon, OH 43050-3404
Mailing address
213 E Chestnut St
Mount Vernon, OH 43050-3404
Other providers in Mount Vernon, OH
- Colton WB Baird
- Abby Baker
- Jilliann K Baker
- Kaitlyn Baker
- Kristin E Baker
- Aaron Ballard
- Tanner Ray Bamforth
- Barbara H Banbury
- Krista Bankes
- Carrie Ann Banks
All providers in Mount Vernon, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.