Provider Demographics
NPI:1275365322
Name:CRESSWELL-BALFOUR, HAYLEIGH
Entity type:Individual
Prefix:
First Name:HAYLEIGH
Middle Name:
Last Name:CRESSWELL-BALFOUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:874 KENMORE CIR
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91320-5415
Mailing Address - Country:US
Mailing Address - Phone:714-482-7838
Mailing Address - Fax:
Practice Address - Street 1:145 ERTEN ST
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-1810
Practice Address - Country:US
Practice Address - Phone:714-482-7838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health