Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1477065993 |
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| LBN Legal business name | BALANCED LIFE COUNSELING | ||||||||
| Authorized official | MARY LANDON - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/25/2017 | ||||||||
| Last updated | 10/25/2017 - About 9 years ago | ||||||||
| Identifiers |
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