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David Ray Baisden, MED,LPCC
Mental Health Counselor in Jackson, Kentucky
NPI 1497455059

David Ray Baisden is a Mental Health Counselor based in Hazard, KY and is specialized in Mental Health. David Ray Baisden practices in Jackson, KY and has the professional credentials of MED,LPCC. The NPI Number for David Ray Baisden is 1497455059 and holds a License No. 283417 (Kentucky).

The current practice location address for David Ray Baisden is 1029 College Ave Ste 101B, Jackson, KY and can be reached out via phone at 606-233-3414.

Location: 1029 College Ave Ste 101B, Jackson, KY, 41701-8082
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497455059
Provider Name
David Ray Baisden
Credential
MED,LPCC
Provider Entity Type
Individual
Gender
Male
Address
1029 College Ave Ste 101B, Jackson, KY, 41701-8082
Phone Number
606-233-3414
Fax Number
Provider Enumeration Date
03/03/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
283417 01 KY STATE LICENSURE
institution
Provider Business Practice Location Address Details
Address
1029 College Ave Ste 101B
City
Jackson
State
Kentucky
Zip
41339-1073
Phone Number
606-233-3414
Fax Number
person
Provider Business Mailing Address Details
Address
1029 College Ave Ste 101B
City
Jackson
State
Kentucky
Zip
41339-1073
Phone Number
606-233-3414
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
283417 (Kentucky)
Definition
Definition to come...
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