Individual
ALYSHA MARIE BALONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
704 E GRAND AVE, TOWER CITY, PA 17980-1216
(717) 461-2014
(717) 647-2573
Mailing address
704 E GRAND AVE, TOWER CITY, PA 17980-1216
(717) 991-3310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC011516
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036767410003
—
PA
Enumeration date
07/18/2019
Last updated
10/11/2022
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