Matthew Calvin Baltazar

NPI #1154173649 in Benton Harbor, Michigan

Provider Information

NPI Number: 1154173649
Entity Type: Individual
Name: Matthew Calvin Baltazar
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Apr 5, 2024
Last Updated: Apr 5, 2024

Practice Location

Address: 1485 M 139
City: Benton Harbor
State: Michigan
ZIP Code: 49022-5711
Phone: (269) 925-0585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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