Thomas Richard Michael Balkcom, LPC Valid NPI

Individual provider · Counselor · Brookhaven, MS

NPI

1457570939

Type

Individual (Type 1)

Primary specialty

Counselor

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101Y00000X

License number

1181 (MS)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-04-24

Last updated

2007-07-08