Organization
BALANCED SOUL COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA RIVERA LCSW (LICENSED CLINICAL SOCIAL WORKER)
(630) 788-1719
Entity
Organization
Contact information
Practice address
180 BEAVER CREEK DR, BOLINGBROOK, IL 60490-5559
(630) 788-1719
Mailing address
180 BEAVER CREEK DR, BOLINGBROOK, IL 60490-5559
(630) 788-1719
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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