Sylvester Baisden
Counselor, Mental Health in Ruston, LA. Individual provider (NPI-1).
NPI number1508310582
StatusActive
Last updated in NPPESAug 8, 2016
Details
- NPI
- 1508310582
- Entity type
- Individual (NPI-1)
- Name
- Sylvester Baisden
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2016
- Last updated
- Aug 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
206 E Reynolds Dr Ste FRuston, LA 71270-2873
Phone 318-254-7050 · Fax 318-254-7053
Mailing address
206 E Reynolds Dr Ste FRuston, LA 71270-2873
Phone 318-254-7050 · Fax 318-254-7053
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