Genevieve A Balajadia, MA, t-CADC
Counselor, Addiction (Substance Use Disorder) in Dubuque, IA. Individual provider (NPI-1).
NPI number1073079679
StatusActive
Last updated in NPPESFeb 19, 2019
Details
- NPI
- 1073079679
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Genevieve A Balajadia
- Credential
- MA, t-CADC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2019
- Last updated
- Feb 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | T18043 | IA | Yes |
Practice location
799 Main St Ste 110Dubuque, IA 52001-6825
Phone 563-582-3784 · Fax 563-582-4006
Mailing address
799 Main St Ste 110Dubuque, IA 52001-6825
Phone 563-582-3784 · Fax 563-582-4006
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