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Individual
MRS. REBECCA M BALOK-SEARLES
Active
Individual
MRS. REBECCA M BALOK-SEARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NH-613
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11564108
CAQH
NH
01
—
14Y010412NH01
BHN ANTHEM BCBS
NH
05
—
30424206
—
NH
01
—
PHCS
PRIVATE HEALTHCARE SYS
NH
Enumeration date
08/30/2006
Last updated
07/08/2007
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