Balzomo, Heather Diane
Balzomo, Heather Diane is an individual health care provider with primary practice located at 675 N 5Th St , Lebanon OR 97355-2875. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Balzomo, Heather Diane can be contacted via phone (541) 451-6282.Contact Information
Primary practice address
675 N 5Th St
Lebanon OR 97355-2875
Phone: (541) 451-6282
Fax: (541) 812-2038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L7178 | Oregon |
Profile Details
| NPI number | 1598217408 |
|---|---|
| LBN Legal business name | Balzomo, Heather Diane |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2016 |
| Last updated | Nov 10th, 2020 - 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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