Balen, Mark Lane

Balen, Mark Lane is an individual health care provider with primary practice located at 500 Cohasset Rd Suite 25, Chico CA 95926-2260. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Balen, Mark Lane can be contacted via phone (530) 879-2456.

Contact Information

Primary practice address
500 Cohasset Rd Suite 25 Chico CA 95926-2260
Phone: (530) 879-2456
Fax: (530) 879-3932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT17694 California

Profile Details

NPI number 1922169002
LBN Legal business name Balen, Mark Lane
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Mar 28th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922169002 NPPES
California Other MFT17694 BBSE

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