Individual
MS. DENA LOUISE BALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
801 LACEY RD, FORKED RIVER, NJ 08731-1301
(609) 971-8989
Mailing address
801 LACEY RD, FORKED RIVER, NJ 08731-1301
(609) 971-8989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00663100
NJ
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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