Lorelei Balderston
NPI #1104338193 in Canon City, Colorado
Provider Information
- NPI Number
- 1104338193
- Entity Type
- Individual
- Name
- Lorelei Balderston
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Oct 30, 2017
- Last Updated
- Oct 30, 2017
Practice Location
- Address
- 3225 INDEPENDENCE RD
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-9380
- Phone
- (719) 275-2351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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