Individual
LISA M BALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
225 COMMERCIAL ST, SUITE 404, PORTLAND, ME 04101-4613
(207) 450-9558
(207) 699-5757
Mailing address
225 COMMERCIAL ST, SUITE 404, PORTLAND, ME 04101-4613
(207) 450-9558
(207) 699-5757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC11303
ME
Other
Enumeration date
12/13/2007
Last updated
05/09/2016
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