NPI Profile for JOLISSA J BALONEY in THIBODAUX, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1295125649 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/23/2015 | |
| Last updated | 05/08/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JOLISSA J BALONEY
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