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Organization
BALSAM COUNSELING
Active
Organization
BALSAM COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIEMA ELJACK LCSW (OWNER)
(703) 429-0510
Entity
Organization
Contact information
Practice address
22118 AVONWORTH SQ, BROADLANDS, VA 20148-6008
(703) 429-0510
Mailing address
22118 AVONWORTH SQ, BROADLANDS, VA 20148-6008
(703) 429-0510
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NULL
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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