Deanna Ballard

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ironton, OH

NPI 1396587564 · NPPES record last updated Jun 10, 2024

Key facts

NPI
1396587564
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
1007 N 2ND St # 1007
Ironton, OH 45638-1235
Phone
(740) 442-7045
NPI assigned
Jun 10, 2024
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X Yes

Addresses

Primary practice location

1007 N 2ND St # 1007
Ironton, OH 45638-1235

Mailing address

1007 N 2ND St # 1007
Ironton, OH 45638-1235
Phone (740) 442-7045

Other providers in Ironton, OH

All providers in Ironton, OH · Addiction (Substance Use Disorder) Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.