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NPI Code Detail

MEDICARE: DANIEL ABRAM BAIRD LPCC, LADC

MEDICARE: DANIEL ABRAM BAIRD LPCC, LADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor304787MN
2101YP2500XProfessional CounselorCC03171MN

General Provider Information

NPI Number : 1578179016
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ABRAM BAIRD LPCC, LADC
Provider Business Mailing Address
First Line : 2217 NICOLLET AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-3382
Country : US
Telephone Number : 612-767-0309
Fax Number :
Provider Business Practice Location Address
First Line : 2118 BLAISDELL AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-2415
Country : US
Telephone Number : 612-872-0506
Fax Number : 612-872-8855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2020
Last Update Date : 04/09/2025

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