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Thomas Richard Michael Balkcom, LPC
Counselor in Brookhaven, Mississippi
NPI 1457570939

Thomas Richard Michael Balkcom is a Counselor based in Brookhaven, MS. Thomas Richard Michael Balkcom practices in Brookhaven, MS and has the professional credentials of LPC. The NPI Number for Thomas Richard Michael Balkcom is 1457570939 and holds a License No. 1181 (Mississippi).

The current practice location address for Thomas Richard Michael Balkcom is 1107 S Jackson St, Brookhaven, MS and can be reached out via phone at 601-833-1507. You can also correspond with Thomas Richard Michael Balkcom through the mailing address at 1107 S JACKSON ST, BROOKHAVEN, MS - 39601-4609 (mailing address contact number: 601-833-1507).

Location: 1107 S Jackson St, Brookhaven, MS, 39601-4609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457570939
Provider Name
Thomas Richard Michael Balkcom
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1107 S Jackson St, Brookhaven, MS, 39601-4609
Phone Number
601-833-1507
Fax Number
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1107 S Jackson St
City
Brookhaven
State
Mississippi
Zip
39601-4609
Phone Number
601-833-1507
Fax Number
person
Provider Business Mailing Address Details
Address
1107 S Jackson St
City
Brookhaven
State
Mississippi
Zip
39601-4609
Phone Number
601-833-1507
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
1181 (Mississippi)
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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