Individual provider · Type 1 NPI

Jeannette Balboni

Mental Health Counselor · Port Orange, FL

NPI number 1639676729 Active

Practice location

900 N Swallow Tail Dr
Port Orange, FL 32129-6102

Call (413) 896-6263 Map

Mailing address

6 Whitehall Ct
Flagler Beach, FL 32136-4906

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLCPC03094 (KS)
Mental Health Counselor Primary 101YM0800XMH25264 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1639676729

Jeannette Balboni's National Provider Identifier is 1639676729, issued on Apr 6, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Orange, FL. The record was last updated on Jul 24, 2026.