Individual
MR. JASON DANIEL BAER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
116 HEALTH DR, GREENVILLE, NC 27834-7704
(252) 413-1950
(252) 413-0500
Mailing address
4300 SAPPHIRE CT STE 110, GREENVILLE, NC 27834-9079
(252) 830-7540
(252) 752-0074
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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