Individual
MR. GARY LEE BALFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PROV. LIC. COUNSELOR
Contact information
Practice address
211 S MAIN ST, JOPLIN, MO 64801-2366
(417) 782-1290
Mailing address
1097 REINMILLER RD, JOPLIN, MO 64804-7740
(417) 782-3974
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007009752
MO
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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