Individual provider · Type 1 NPI
Thomas Richard Michael Balkcom, LPC
Counselor · Brookhaven, MS
NPI number
1457570939
Active
Practice location
1107 S Jackson St
Brookhaven, MS 39601-4609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 1181 (MS) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1457570939
Thomas Richard Michael Balkcom, LPC's National Provider Identifier is 1457570939, issued on Apr 24, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Brookhaven, MS. The record was last updated on Jul 8, 2007.