NPI 1053037333

Courtney Balthazor, SACIT

Practitioner Addiction (Substance Use Disorder) Counselor Manitowoc, WI

Practice location

Address: 3 Riverview Dr, Manitowoc, WI 54220-3767
Phone: (920) 663-1035
Fax: (920) 215-4918
Mailing address: 1111 S 9th St APT B, Manitowoc, WI 54220-5342

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 20064130 (WI)

Other Counselor providers in Wisconsin →

Registry record

NPI: 1053037333
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Oct 2022
Record last updated: 18 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.