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JACK PATRICK BALLUM
NPI 1437493483
Counselor - Addiction (Substance Use Disorder) in Needles, CA

Active since November 15, 2012
300 H ST, NEEDLES, CA 92363(760) 326-4590(760) 326-3154 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Patrick Ballum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK PATRICK BALLUM (NPI 1437493483) is an individual addiction (substance use disorder) provider in Needles, California and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1437493483
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACK PATRICK BALLUM
Location Address300 H STNeedles, CA 92363-2928
Mailing Address300 H StNeedles, CA 92363-2928 · (760) 326-4590 · Fax (760) 326-3154
Phone(760) 326-4590
Fax(760) 326-3154
Sole ProprietorNo
Enumeration DateNovember 15, 2012
✔ NPI 1437493483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
300 H ST, Needles, CA 92363
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA MUNSON
Counselor (Addiction (Substance Use Disorder))
300 H ST
NEEDLES, CA 92363
San Bernardino County (760) 326-4590
ASHLEY WREN
Counselor
300 H ST
NEEDLES, CA 92363
San Bernardino County (760) 326-4590
MELISSA REMPP
Counselor (Addiction (Substance Use Disorder))
300 H ST
NEEDLES, CA 92363
San Bernardino County (760) 326-4590
MRS. MISTYDAE PAGET
Counselor (Addiction (Substance Use Disorder))
300 H ST
NEEDLES, CA 92363
San Bernardino County (760) 326-4590
STACIA SHAVER
Case Manager/Care Coordinator
300 H ST
NEEDLES, CA 92363
San Bernardino County (760) 326-4590
MS. JACQUELINE JOYCE MAYES-PEHL
Counselor (Addiction (Substance Use Disorder))
300 H ST
NEEDLES, CA 92363
San Bernardino County (760) 326-4590
CARL A RUSSELL
Counselor (Addiction (Substance Use Disorder))
300 H ST
NEEDLES, CA 92363
San Bernardino County (760) 326-4590
MICHELLE R. CHAVEZ
Counselor (Addiction (Substance Use Disorder))
300 H ST
NEEDLES, CA 92363
San Bernardino County (760) 326-4690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Ballum's NPI number?

The NPI number for Jack Ballum is 1437493483. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Jack Ballum located?

Jack Ballum practices at 300 H St, Needles, CA 92363. The listed phone number is (760) 326-4590.

What is Jack Ballum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jack Ballum was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.