Individual
SHARON BALSAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19800 VILLAGE OFFICE CT, SUITE 105, BEND, OR 97702-1872
(541) 728-3106
Mailing address
1011 SW EMKAY DR STE 101, BEND, OR 97702-3162
(804) 647-3014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C4360
OR
101YP2500X
Professional Counselor
Primary
C4360
OR
Other
Enumeration date
02/08/2017
Last updated
05/23/2023
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