Individual
MICHAEL BALESTRIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 MAIN ST STE 10, MANASQUAN, NJ 08736-2925
(732) 687-0423
Mailing address
75 MAIN ST STE 10, MANASQUAN, NJ 08736-2925
(732) 687-0423
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00559800
NJ
Other
Enumeration date
04/29/2014
Last updated
03/19/2018
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