Most Relevant Information
Provider Data
| NPI Number: | 1003466798 |
| Provider Name: | JILL ANDREA BALLESTEROS- BOWMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | PRC200001884 |
Most Important Dates
| Enumeration Date: | 09/16/2019 |
| Last Updated: | 06/20/2024 |
Provider Practice Location
1140 3RD ST NE
WASHINGTON
DC
200026274
Practice Location Phone/Fax
| Phone: | 2024688823 |
| Fax: |
Provider Mailing Location
3205 HELENA SPRINGS AVE APT G
AUGUSTA
GA
309099350
Provider Mailing Phone/Fax
| Phone: | 3233922190 |
| Fax: |