Individual
BAILIE BRISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 DORCHESTER DR UNIT 107, ALEXANDRIA, LA 71303-3027
(318) 664-6732
Mailing address
1250 DORCHESTER DR UNIT 107, ALEXANDRIA, LA 71303-3027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
LA
104100000X
Social Worker
12981
LA
171M00000X
Case Manager/Care Coordinator
Primary
12981
LA
Other
Enumeration date
10/01/2015
Last updated
11/14/2018
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