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NPI Code Detail

MEDICARE: MR. DARYL STEVEN BAHN MA, LPC

MEDICARE:  MR. DARYL STEVEN BAHN  MA, LPC
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
1101YP2500XProfessional Counselor2011009619MO

General Provider Information

NPI Number : 1366732430
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DARYL STEVEN BAHN MA, LPC
Provider Business Mailing Address
First Line : 1300 E BRADFORD PKWY
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65804-4264
Country : US
Telephone Number : 477-615-0001
Fax Number : 417-761-5011
Provider Business Practice Location Address
First Line : 800 S PARK AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65802-4855
Country : US
Telephone Number : 417-761-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2011
Last Update Date : 06/12/2025

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Directions to “ MR. DARYL STEVEN BAHN MA, LPC” Practice Location

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