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
Fax: (541) 812-2038
Website:

Health care specialties

SpecialtyCodeLicense #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 4 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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