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Nicole E Balicki
Mental Health Counselor in Moncks Corner, South Carolina
NPI 1457615791

Nicole E Balicki is a Mental Health Counselor based in Moncks Corner, SC and is specialized in Mental Health. Nicole E Balicki practices in Moncks Corner, SC. The NPI Number for Nicole E Balicki is 1457615791 and holds a License No. (South Carolina).

The current practice location address for Nicole E Balicki is 403 Stony Landing Rd, Moncks Corner, SC and can be reached out via phone at 413-418-2300.

Location: 403 Stony Landing Rd, Moncks Corner, SC, 29461-3967
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457615791
Provider Name
Nicole E Balicki
Credential
Provider Entity Type
Individual
Gender
Female
Address
403 Stony Landing Rd, Moncks Corner, SC, 29461-3967
Phone Number
413-418-2300
Fax Number
Provider Enumeration Date
07/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1307576 05 MA
1303295 05 MA
M18463 01 BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
403 Stony Landing Rd
City
Moncks Corner
State
South Carolina
Zip
29461-3967
Phone Number
413-418-2300
Fax Number
person
Provider Business Mailing Address Details
Address
403 Stony Landing Rd
City
Moncks Corner
State
South Carolina
Zip
29461-3967
Phone Number
413-418-2300
Fax Number
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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