James Joseph Balza, LCSW
Social Worker, Clinical in Green Bay, WI. Individual provider (NPI-1).
NPI number1720242555
StatusActive
Last updated in NPPESFeb 25, 2021
Details
- NPI
- 1720242555
- Entity type
- Individual (NPI-1)
- Name
- Mr. James Joseph Balza
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2008
- Certification date
- Feb 25, 2021
- Last updated
- Feb 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 998-123 | WI | Yes |
Practice location
1499 6th StGreen Bay, WI 54304-2252
Phone 920-497-6161 · Fax 920-498-0476
Mailing address
1160 Kepler DrGreen Bay, WI 54311-8321
Phone 920-288-5500 · Fax 920-288-5510
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