Individual
JOAN L BALCOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 14TH ST NW, ROCHESTER, MN 55901-2590
(507) 534-2668
Mailing address
275 4TH ST E STE 301, SAINT PAUL, MN 55101-1771
(651) 413-9938
(651) 344-0515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
4119
MN
Other
Enumeration date
07/09/2018
Last updated
07/26/2021
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