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1922169002
MARK LANE BALEN
CHICO, CA
NPI
1922169002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFT17694)
Enumeration Date
2006-12-13
Last Update Date
2012-03-28
Business Address
-- MARK LANE BALEN MFT
500 COHASSET RD SUITE 25
CHICO, CA 95926-2260
Phone number: 530-879-2456
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Mailing Address
-- MARK LANE BALEN MFT
2368 STEARNS RD
PARADISE, CA 95969
Phone number:
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