# BALSAM COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265224596
- **Authorized official:** SIEMA ELJACK LCSW (OWNER)
- **Authorized official phone:** (703) 429-0510

## Contact information

- **Practice address:** 22118 AVONWORTH SQ, BROADLANDS, VA 20148-6008
- **Practice address phone:** (703) 429-0510
- **Mailing address:** 22118 AVONWORTH SQ, BROADLANDS, VA 20148-6008
- **Mailing address phone:** (703) 429-0510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | Yes |
| 104100000X | Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/21/2025
- **Last updated:** 05/21/2025