Individual
DR. JOSEPH R BAUNOCH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2 S MAIN ST, YALE, MI 48097-3316
(810) 841-4745
Mailing address
2894 W RICK DR, PORT HURON, MI 48060-6533
(810) 841-4745
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
39000055A
IN
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
39000055A
IN
Other
Enumeration date
06/03/2007
Last updated
09/07/2020
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