Individual
JULIA W BALSOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16338 N IL HWY 37, MOUNT VERNON, IL 62864
(618) 242-1546
(618) 242-6392
Mailing address
PO BOX 428, MOUNT VERNON, IL 62864-0054
(618) 242-1546
(618) 242-6392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6281
IL
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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