Individual
CAROL BALAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
732 BECKMAN ST, DAYTON, OH 45410-2165
(937) 253-1680
Mailing address
114 ROSS ST, MIDDLETOWN, OH 45044-5052
(513) 594-4406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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