Individual
DR. ROBERT DOUGLAS BAIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP, NCAC I, MHP,
Contact information
Practice address
431 E MAIN ST, BLOOMFIELD, IN 47424-1460
(812) 384-9452
(812) 384-9445
Mailing address
PO BOX 653, SEDRO WOOLLEY, WA 98284-0653
(425) 349-8226
(425) 349-8230
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00005724
WA
101YM0800X
Mental Health Counselor
Primary
39003718A
IN
101YM0800X
Mental Health Counselor
LH00005969
WA
Other
Enumeration date
01/04/2007
Last updated
05/15/2020
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