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Matthew Calvin Baltazar
Counselor in Benton Harbor, Michigan
NPI 1154173649

Matthew Calvin Baltazar is a Counselor based in Berrien Center, MI. Matthew Calvin Baltazar practices in Benton Harbor, MI. The NPI Number for Matthew Calvin Baltazar is 1154173649 and holds a License No. (Michigan).

The current practice location address for Matthew Calvin Baltazar is 1485 M 139, Benton Harbor, MI and can be reached out via phone at 269-925-0585 and via fax at 269-927-1326. You can also correspond with Matthew Calvin Baltazar through the mailing address at 9359 FOX RUN, BERRIEN CENTER, MI - 49102-8706 (mailing address contact number: 269-369-8239).

Location: 1485 M 139, Benton Harbor, MI, 49102-8706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154173649
Provider Name
Matthew Calvin Baltazar
Credential
Provider Entity Type
Individual
Gender
Male
Address
1485 M 139, Benton Harbor, MI, 49102-8706
Phone Number
269-925-0585
Fax Number
269-927-1326
Provider Enumeration Date
04/05/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1485 M 139
City
Benton Harbor
State
Michigan
Zip
49022-5711
Phone Number
269-925-0585
Fax Number
269-927-1326
person
Provider Business Mailing Address Details
Address
1485 M 139
City
Benton Harbor
State
Michigan
Zip
49022-5711
Phone Number
269-925-0585
Fax Number
269-927-1326
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
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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