Individual provider · Type 1 NPI

Anthony Thomas Balistrieri, L.P.C.

Professional Counselor · Marthasville, MO

NPI number 1962555979 Active

Practice location

44 Walnut Crst
Marthasville, MO 63357-1508

Fax (363) 433-2683

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X000669 (MO)

Professional Counselor: Definition to come...

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About NPI 1962555979

Anthony Thomas Balistrieri, L.P.C.'s National Provider Identifier is 1962555979, issued on Jan 21, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Marthasville, MO. The record was last updated on Jul 8, 2007.