Individual
STEFANNY BALESTRACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
34225 N 27TH DR, PHOENIX, AZ 85085-6087
(602) 698-5777
Mailing address
14602 N 7TH PL, PHOENIX, AZ 85022-3776
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
AZ
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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