# MR. MARC WERNER BAISDEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538302054
- **Gender:** Man
- **Credential:** MA, CMHC, MSCP, CIS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CL60147106 | WA | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YP2500X | Professional Counselor | CL60147106 | WA | — |

## Other

- **Enumeration date:** 04/14/2009
- **Last updated:** 05/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 320342477 | — | AK |