Individual
DR. MICHAEL JORDAN BALSAN
Active
Individual
DR. MICHAEL JORDAN BALSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
38708
TX
103TC1900X
Counseling Psychologist
PS019658
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38708
TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL LICENSE NUMBER
TX
01
—
PS019658
PENNSYLVANIA DEPARTMENT OF STATE
PA
01
—
PSY200001600
DISTRICT OF COLUMBIA DEPT OF HEALTH
DC
Enumeration date
09/13/2021
Last updated
09/11/2024
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