Individual
JESSICA LEANNE BALZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3382 ANDERSONVILLE HWY, ANDERSONVILLE, TN 37705-3816
(423) 823-2156
Mailing address
1200 SAYBROOK LN, KNOXVILLE, TN 37923-2063
(423) 823-2156
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11607
TN
1041C0700X
Clinical Social Worker
Primary
8165
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11607
TN DEPARTMENT OF HEALTH LMSW LICENSURE
TN
01
—
8165
TN DEPARTMENT OF HEALTH BOARD OF SOCIAL WORKERS
TN
Enumeration date
03/09/2020
Last updated
08/09/2022
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