Christine Nicole Bracamontes Ballance, MA, LCPC
Counselor, Professional in Collinsville, IL. Individual provider (NPI-1).
NPI number1982122214
StatusActive
Last updated in NPPESMar 25, 2019
Details
- NPI
- 1982122214
- Entity type
- Individual (NPI-1)
- Name
- Christine Nicole Bracamontes Ballance
- Credential
- MA, LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 7, 2017
- Last updated
- Mar 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180011136 | IL | Yes |
Other names
- Christine Bracamontes (Former Name)
Practice location
226 S Morrison AveCollinsville, IL 62234-2711
Phone 618-514-4842 · Fax 618-514-4842
Mailing address
226 S Morrison AveCollinsville, IL 62234-2711
Phone 618-514-4842 · Fax 618-514-4842
Other practice locations
226 S Morrison Ave
Collinsville, IL 62234-2711
Collinsville, IL 62234-2711
Phone 618-514-4842 · Fax 618-514-4842
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