Individual
MR. ANDREW SCOTT BALSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1505 AVENUE D, BILLINGS, MT 59102
(406) 860-0934
Mailing address
PO BOX 20471, BILLINGS, MT 59104
(406) 860-0934
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1324
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255680
—
MT
Enumeration date
07/03/2007
Last updated
03/06/2008
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