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NPI Code Detail

MEDICARE: ANNA LOUISE BAIRD LPC, NCC

MEDICARE: ANNA LOUISE BAIRD LPC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorLPC-8463ID

General Provider Information

NPI Number : 1184315095
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA LOUISE BAIRD LPC, NCC
Provider Business Mailing Address
First Line : 1006 S HILTON ST APT 203
Second Line :
City : BOISE
State : ID
Zip : 83705-1900
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3676 N HARBOR LN STE 100
Second Line :
City : BOISE
State : ID
Zip : 83703-6919
Country : US
Telephone Number : 208-607-3503
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2023
Last Update Date : 05/19/2023

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