| Doctor Name: | MISS CAROLYN JOYCE MACOMBER |
| NPI Number: | 1063822666 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 6401013902 |
| Business Practice Address: | 1011 Broadway St Ste 10 Niles, MI - 491202762 |
| Business Phone Number: | 2694851505 |
| Business Fax Number: | |
| Mailing Address: | Po Box 126, SAWYER |
| State: | MI |
| Postal Code: | 491250126 |
| Phone Number: | 2698451505 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2014 |
| NPI Last Update Date: | 06/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 6401013902 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |