Provider Demographics
NPI:1598568164
Name:BALABANOVA, KYREANNA MARGARET
Entity type:Individual
Prefix:MRS
First Name:KYREANNA
Middle Name:MARGARET
Last Name:BALABANOVA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:KYREANNA
Other - Middle Name:MARGARET
Other - Last Name:FIEGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8820 E KNOX AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2365
Mailing Address - Country:US
Mailing Address - Phone:509-435-5545
Mailing Address - Fax:
Practice Address - Street 1:317 N PINES RD
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5120
Practice Address - Country:US
Practice Address - Phone:509-838-4651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor