THOMAS RICHARD BALKCOM, LPC

Counselor

Active Individual
NPI: 1457570939

Practice Address

1107 S JACKSON ST
Brookhaven, MS 39601

Phone: (601) 833-1507

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes 1181 (MS)

Frequently Asked Questions

NPI 1457570939 is the National Provider Identifier for THOMAS RICHARD BALKCOM, LPC, a Counselor provider located in Brookhaven, MS. This NPI was enumerated on April 24, 2007.
THOMAS RICHARD BALKCOM, LPC practices at 1107 S JACKSON ST, Brookhaven, MS 39601.

Quick Facts

NPI
1457570939
Type
Individual
Enumerated
Apr 24, 2007
Last Updated
Jul 8, 2007

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