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Individual

DAVID RAY BAISDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED, LPCC

Contact information

Practice address
1029 COLLEGE AVE STE 101B, JACKSON, KY 41339-1073
(606) 233-3414
Mailing address
244 HARRIS BRANCH LN, HAZARD, KY 41701-8082

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
283417
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
283417
STATE LICENSURE
KY
Enumeration date
03/03/2023
Last updated
03/03/2023
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