Balos, Jessica

Balos, Jessica is an sole proprietor health care provider with primary practice located at 9015 Town Center Pkwy Unit 107 , Lakewood Ranch FL 34202-5012. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Balos, Jessica can be contacted via phone (941) 404-6304.

Contact Information

Primary practice address
9015 Town Center Pkwy Unit 107 Lakewood Ranch FL 34202-5012
Phone: (941) 404-6304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH16234 Florida

Profile Details

NPI number 1841743002
LBN Legal business name Balos, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2016
Last updated Jan 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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