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Dr. Robert Douglas Baize, CDP, NCAC I, MHP,

Counselor, Mental Health in Bloomfield, IN. Individual provider (NPI-1).

NPI number1245387828
StatusActive
Last updated in NPPESMay 15, 2020

Details

NPI
1245387828
Entity type
Individual (NPI-1)
Name
Dr. Robert Douglas Baize
Credential
CDP, NCAC I, MHP,
Sex
Male
Sole proprietor
No
Enumeration date
Jan 4, 2007
Certification date
May 15, 2020
Last updated
May 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health39003718AINYes
101YA0400X Counselor, Addiction (Substance Use Disorder)CP00005724WA
101YM0800X Counselor, Mental HealthLH00005969WA

Practice location

431 E Main St
Bloomfield, IN 47424-1460

Phone 812-384-9452 · Fax 812-384-9445

Mailing address

Po Box 653
Sedro Woolley, WA 98284-0653

Phone 425-349-8226 · Fax 425-349-8230

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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