Individual provider · Type 1 NPI

Mary Ann Bucalos, MA, LLPC, NCC

Professional Counselor · Pontiac, MI

NPI number 1679083265 Active

Practice location

1200 N Telegraph Rd
Pontiac, MI 48341-1032

Mailing address

2747 Castlemartin Ct
Oakland Township, MI 48306-4906

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401014551 (MI)

Professional Counselor: Definition to come...

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About NPI 1679083265

Mary Ann Bucalos, MA, LLPC, NCC's National Provider Identifier is 1679083265, issued on Oct 9, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pontiac, MI. The record was last updated on Oct 9, 2017.