JULIA W BALSOVER

MOUNT VERNON, IL
NPI1215209788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  6281)
Enumeration Date2012-01-31
Last Update Date2012-01-31
Business Address
-- JULIA W BALSOVER
16338 N IL HWY 37
MOUNT VERNON, IL 62864
Phone number: 618-242-1546
Mailing Address
-- JULIA W BALSOVER
PO BOX 428
MOUNT VERNON, IL 62864-0054
Phone number: 618-242-1546