Individual
CHRISTINE NICOLE BRACAMONTES BALLANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
226 S MORRISON AVE, COLLINSVILLE, IL 62234-2711
(618) 514-4842
(618) 514-4842
Mailing address
226 S MORRISON AVE, COLLINSVILLE, IL 62234-2711
(618) 514-4842
(618) 514-4842
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180011136
IL
Other
Enumeration date
09/07/2017
Last updated
03/25/2019
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