person
Mrs. Cynthia Dewaters Balog, LCPCLCADC
Professional Counselor in Phoenix, Maryland
NPI 1730271792

Cynthia Dewaters Balog is a Professional Counselor based in Phoenix, MD and is specialized in Professional. Cynthia Dewaters Balog practices in Phoenix, MD and has the professional credentials of LCPCLCADC. The NPI Number for Cynthia Dewaters Balog is 1730271792 and holds a License No. LCA362 (Maryland).

The current practice location address for Cynthia Dewaters Balog is 3314 Paper Mill Rd Ste 100, Phoenix, MD and can be reached out via phone at 410-802-4049 and via fax at 866-561-6670.

Location: 3314 Paper Mill Rd Ste 100, Phoenix, MD, 21131-1446
person
Provider Profile Details
NPI Number
1730271792
Provider Name
Cynthia Dewaters Balog
Credential
LCPCLCADC
Provider Entity Type
Individual
Gender
Female
Address
3314 Paper Mill Rd Ste 100, Phoenix, MD, 21131-1446
Phone Number
410-802-4049
Fax Number
866-561-6670
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
461922374 01 MD CIGNA
676829 01 MD BEACON HEALTH OPTIONS
RS830034 01 CAREFIRST GHMSI
699558600 05 MD
62464101 01 CAREFIRST MD
institution
Provider Business Practice Location Address Details
Address
3314 Paper Mill Rd Ste 100
City
State
Zip
21131-1446
Phone Number
410-802-4049
Fax Number
866-561-6670
person
Provider Business Mailing Address Details
Address
3314 Paper Mill Rd Ste 100
City
State
Zip
21131-1446
Phone Number
410-802-4049
Fax Number
866-561-6670
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LC1289 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCA362 (Maryland)
Definition
Definition to come...
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