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Contact Information

JEFFREY B BALLOU, LCP, LP
2231 CATLIN AVE
SUPERIOR, WI54880-5137
 Phone: 715-394-4173
 Fax: 715-394-9182
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for JEFFREY B BALLOU · (Male)

NPI # 1013087675
Status Active
Credentials LCP, LP
Entity Individual
Enumeration date 11/09/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 591-125
  • WI Medicaid 39259800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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