Provider Demographics
NPI:1235408188
Name:BALZHISER, APRIL ALLISON (LCPC, ICDVP)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:ALLISON
Last Name:BALZHISER
Suffix:
Gender:F
Credentials:LCPC, ICDVP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 PRINCETON LN
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-3816
Mailing Address - Country:US
Mailing Address - Phone:815-474-5322
Mailing Address - Fax:815-485-7751
Practice Address - Street 1:702 PRINCETON LN
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-3816
Practice Address - Country:US
Practice Address - Phone:815-474-5322
Practice Address - Fax:815-485-7751
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180007972101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional