JESSICA BALOS

LAKEWOOD RANCH, FL
NPI1841743002
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH16234)
Enumeration Date2016-07-24
Last Update Date2019-01-18
Business Address
JESSICA BALOS
9015 TOWN CENTER PKWY UNIT 107
LAKEWOOD RANCH, FL 34202-5012
Phone number: 941-404-6304
Mailing Address
JESSICA BALOS
5775 AVISTA DR
SARASOTA, FL 34243-3616
Phone number: 941-404-6304
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