Individual
MARY ANN BUCALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC, NCC
Contact information
Practice address
1200 N TELEGRAPH RD, PONTIAC, MI 48341-1032
(248) 456-8150
Mailing address
2747 CASTLEMARTIN CT, OAKLAND TWP, MI 48306-4906
(248) 563-2939
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014551
MI
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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