Individual
MR. W DOUGLAS BAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CAC III
Contact information
Practice address
619 MAIN ST, FRISCO, CO 80443
(970) 668-3996
Mailing address
PO BOX 4325, FRISCO, CO 80443-4325
(970) 668-3996
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1039
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039
LPC
CO
01
—
1461
CAC III
CO
Enumeration date
10/28/2006
Last updated
07/08/2007
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