Organization
LIFE BALANCE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAEL Y DIPLACIDO-EASTMAN (SOLE MBR)
(314) 660-7473
Entity
Organization
Contact information
Practice address
426 E 5TH ST, WASHINGTON, MO 63090-2811
(314) 660-7473
Mailing address
426 E 5TH ST, WASHINGTON, MO 63090-2811
(314) 660-7473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2010041707
MO
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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