Individual provider · Type 1 NPI
Johnnie Lewis Balous Jr., MS
Mental Health Counselor · Deltona, FL
NPI number
1811668981
Active
Practice location
1618 Amboy Dr
Deltona, FL 32738-5202
Fax (386) 316-4695
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1811668981
Johnnie Lewis Balous Jr., MS's National Provider Identifier is 1811668981, issued on Sep 27, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Deltona, FL. The record was last updated on Sep 27, 2021.