THERESA BALLAS

GLASSBORO, NJ
NPI1073069985
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: NJ  37AC00300100)
Additional Taxonomies101Y00000X Counselor
(Licence: NJ  101YP2500X)
Enumeration Date2016-08-31
Last Update Date2016-08-31
Business Address
-- THERESA BALLAS LAC
42 DELSEA DR S
GLASSBORO, NJ 08028-2621
Phone number: 856-881-8689
Mailing Address
-- THERESA BALLAS LAC
42 DELSEA DR S
GLASSBORO, NJ 08028-2621
Phone number: 856-881-8689