Organization
BALANCED LIVING COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATRIN JENSEN LPC (OWNER)
(706) 509-0130
Entity
Organization
Contact information
Practice address
412 E 1ST ST, ROME, GA 30161
(706) 509-0130
(706) 237-6503
Mailing address
108 E 5TH AVE, SUITE B, ROME, GA 30161
(706) 509-0130
(706) 237-6503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005814
GA
Other
Enumeration date
01/20/2017
Last updated
09/08/2020
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