Individual
MS. CHERISSE E MCNAUGHTON-BALZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LAC, NCC
Contact information
Practice address
3595 S TELLER ST, LAKEWOOD, CO 80235-2014
(303) 432-5406
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001640
CO
101YM0800X
Mental Health Counselor
LPCC.0015380
CO
101YP2500X
Professional Counselor
Primary
LPC.0015586
CO
Other
Enumeration date
12/13/2013
Last updated
01/17/2023
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