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Dr. Pamela Virginia Balentine, PHD,LPC
Professional Counselor in Escanaba, Michigan
NPI 1134212418

Pamela Virginia Balentine is a Professional Counselor based in Escanaba, MI and is specialized in Professional. Pamela Virginia Balentine practices in Escanaba, MI and has the professional credentials of PHD,LPC. The NPI Number for Pamela Virginia Balentine is 1134212418 and holds a License No. 6401007925 (Michigan).

The current practice location address for Pamela Virginia Balentine is 1100 Ludington St, Escanaba, MI and can be reached out via phone at 906-233-1848.

Location: 1100 Ludington St, Escanaba, MI, 49829-0554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134212418
Provider Name
Pamela Virginia Balentine
Credential
PHD,LPC
Provider Entity Type
Individual
Gender
Female
Address
1100 Ludington St, Escanaba, MI, 49829-0554
Phone Number
906-233-1848
Fax Number
Provider Enumeration Date
10/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11635181 01 CAQH
institution
Provider Business Practice Location Address Details
Address
1100 Ludington St
City
Escanaba
State
Michigan
Zip
49829-3542
Phone Number
906-233-1848
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Ludington St
City
Escanaba
State
Michigan
Zip
49829-3542
Phone Number
906-233-1848
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6401007925 (Michigan)
Definition
Definition to come...
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