Individual
ALLISON BALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15255 US 43 #3, RUSSELLVILLE, AL 25653
(256) 410-2750
Mailing address
15255 US 43 #3, RUSSELLVILLE, AL 35967
(256) 410-2750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2690
AL
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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