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

TaxonomyCodeLicense
Counselor Primary 101Y00000X1181 (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.