Staci Balliet

NPI #1053019661 in Brea, California

Provider Information

NPI Number: 1053019661
Entity Type: Individual
Name: Staci Balliet
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Feb 22, 2023
Last Updated: Feb 22, 2023

Practice Location

Address: 1585 HONEYWOOD CT
City: Brea
State: California
ZIP Code: 92821-2735
Phone: (714) 510-0101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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