Jane Ballis MA, LCPC

NPI 1083900906 - Counselor - 101YP2500X

NPI Details
NPI 1083900906
Gender Female
Enumeration Date 06/20/2011
Last Updated 06/20/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1428 W JONQUIL TER APT 1W
CHICAGO IL, 60626-1259, US
Phone (630) 205-6884
Fax
Business Location
1428 W JONQUIL TER APT 1W
CHICAGO IL, 60626-1259, US
Phone (630) 205-6884
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Illinois
License Number 180007590
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According to our database, Ms. Jane Ballis MA, LCPC NPI is 1083900906, taxonomy code is 101YP2500X and license number is 180007590, license state is located at Illinois. Jane Ballis MA, LCPC physically located at 1428 W Jonquil Ter Apt 1w, Chicago IL, 60626-1259. NPI Number Jane Ballis MA, LCPC has the Individual type.

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1083900906 NPI number is provided on an as is basis without warranty of any kind. 1083900906 is maintained by the National Plan & Provider Enumeration System. The contents of Jane Ballis MA, LCPC are for informational purposes only.