JOHNNIE LEWIS BALOUS

DELTONA, FL
NPI1811668981
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-09-27
Last Update Date2021-09-27
Business Address
JOHNNIE LEWIS BALOUS MS
1618 AMBOY DR
DELTONA, FL 32738-5202
Phone number: 407-202-2996
Mailing Address
JOHNNIE LEWIS BALOUS MS
1618 AMBOY DR
DELTONA, FL 32738-5202
Phone number: 407-202-2996
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