| Doctor Name: | JANA P BALLOU |
| NPI Number: | 1568522837 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 4897-C |
| Business Practice Address: | 2200 Bergquist Dr Ste 1 59 Mhs Sgowf Lackland Air Force Base, TX - 782365100 |
| Business Phone Number: | 2102925967 |
| Business Fax Number: | |
| Mailing Address: | 2200 Bergquist Dr Ste 1, Lackland Air Force Base Family Advocacy Program LACKLAND AIR FORCE BASE |
| State: | TX |
| Postal Code: | 782365100 |
| Phone Number: | 2102925967 |
| Fax Number: | |
| NPI Enumeration Date: | 12/09/2006 |
| NPI Last Update Date: | 01/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 4897-C |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |