Marzack Balasco Mcallister, LADC

NPI #1225356892 in New Brighton, Minnesota

Provider Information

NPI Number
1225356892
Entity Type
Individual
Name
Marzack Balasco Mcallister, LADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC
Enumeration Date
May 6, 2010
Last Updated
May 6, 2010

Practice Location

Address
1900 SILVER LAKE RD NW
Address 2
SUITE 110
ZIP Code
55112-1786
Phone
(651) 628-9566

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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