Individual
BRANDY BALZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6165 ALLMONDSVILLE RD, GLOUCESTER, VA 23061-3336
(757) 645-8041
Mailing address
6165 ALLMONDSVILLE RD, GLOUCESTER, VA 23061-3336
(757) 645-8041
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701013201
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VA0297G669
—
VA
Enumeration date
01/16/2024
Last updated
04/05/2024
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