Individual
DESIREE BALCONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
44070 W 12 MILE RD, SUITE #200, NOVI, MI 48377-2648
(248) 773-8440
(248) 773-8441
Mailing address
7 PARKSIDE BLVD, PORT WENTWORTH, GA 31407-3343
(906) 361-9066
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015905
MI
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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