Individual provider · NPI-1

Audra Balcarcel

Counselor, Mental Health · Saint Clair Shores, MI

NPI number1154037612
StatusActive
Last updated in NPPESJan 30, 2023

Details

NPI
1154037612
Entity type
Individual (NPI-1)
Name
Audra Balcarcel
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 27, 2023
Certification date
Jan 30, 2023
Last updated
Jan 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

21929 E 9 Mile Rd
Saint Clair Shores, MI 48080-2906

Phone 313-423-8586

Mailing address

21929 E 9 Mile Rd
Saint Clair Shores, MI 48080-2906

Phone 313-423-8586

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