Individual
MR. ANTHONY THOMAS BALISTRIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
44 WALNUT CRST, MARTHASVILLE, MO 63357-1508
(314) 420-6823
(363) 433-2683
Mailing address
44 WALNUT CRST, MARTHASVILLE, MO 63357-1508
(314) 420-6823
(363) 433-2683
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000669
MO
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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