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Jacob Ballard, LMSW

NPI 1851217426 · on the registry since 2026 · sole proprietor

Practice

Address
24799 Lansing Ln
Middleton, ID 83644
Phone
(208) 742-4229
Clinicians at this address
2

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho