Individual provider · Type 1 NPI

Lorelei Balderston

Addiction (Substance Use Disorder) Counselor · Canon City, CO

NPI number 1104338193 Active

Practice location

3225 Independence Rd
Canon City, CO 81212-9380

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACB.0008224 (CO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104338193

Lorelei Balderston's National Provider Identifier is 1104338193, issued on Oct 30, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canon City, CO. The record was last updated on Oct 30, 2017.