Provider Demographics
NPI:1932799137
Name:BALBO, CHRISTOPHER (LPC-A)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:BALBO
Suffix:
Gender:M
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 TREMONT ST APT B1
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-3019
Mailing Address - Country:US
Mailing Address - Phone:973-309-3847
Mailing Address - Fax:
Practice Address - Street 1:1 REGENCY DR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-2310
Practice Address - Country:US
Practice Address - Phone:860-905-4776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-21
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7607101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional