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Mr. Marc Werner Baisden, MA,CMHC,MSCP,CIS
Mental Health Counselor in Crescent City, California
NPI 1538302054

Marc Werner Baisden is a Mental Health Counselor based in Arcata, CA and is specialized in Mental Health. Marc Werner Baisden practices in Crescent City, CA and has the professional credentials of MA,CMHC,MSCP,CIS. The NPI Number for Marc Werner Baisden is 1538302054 and holds a License No. CL60147106 (California).

The current practice location address for Marc Werner Baisden is 1675 Northcrest Dr, Crescent City, CA and can be reached out via phone at 707-464-2750 and via fax at 707-464-2668.

Location: 1675 Northcrest Dr, Crescent City, CA, 95521-4734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538302054
Provider Name
Marc Werner Baisden
Credential
MA,CMHC,MSCP,CIS
Provider Entity Type
Individual
Gender
Male
Address
1675 Northcrest Dr, Crescent City, CA, 95521-4734
Phone Number
707-464-2750
Fax Number
707-464-2668
Provider Enumeration Date
04/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
320342477 05 AK
institution
Provider Business Practice Location Address Details
Address
1675 Northcrest Dr
City
Crescent City
State
California
Zip
95531-8928
Phone Number
707-464-2750
Fax Number
707-464-2668
person
Provider Business Mailing Address Details
Address
1675 Northcrest Dr
City
Crescent City
State
California
Zip
95531-8928
Phone Number
707-464-2750
Fax Number
707-464-2668
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CL60147106 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
CL60147106 (Washington)
Definition
Definition to come...
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