Individual
ALYSSA LAUREN BALASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7699 PALMILLA DR APT 3412, SAN DIEGO, CA 92122-5098
(401) 556-9810
Mailing address
7699 PALMILLA DR APT 3412, SAN DIEGO, CA 92122-5098
(401) 556-9810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW89579
CA
1041C0700X
Clinical Social Worker
Primary
113260
CA
Other
Enumeration date
04/18/2019
Last updated
06/27/2024
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