| Doctor Name: | MICHAEL SEAN HALCOMB |
| NPI Number: | 1306078571 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | |
| Business Practice Address: | 3169 2nd Ave E Big Stone Gap, VA - 242193805 |
| Business Phone Number: | 2765238300 |
| Business Fax Number: | 4234673644 |
| Mailing Address: | 1167 Spratlin Park Dr, GRAY |
| State: | TN |
| Postal Code: | 376156205 |
| Phone Number: | 4234673600 |
| Fax Number: | 4234673644 |
| NPI Enumeration Date: | 08/20/2009 |
| NPI Last Update Date: | 08/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |