Baisden, Marc Werner

Baisden, Marc Werner is an individual health care provider with primary practice located at 1675 Northcrest Dr , Crescent City CA 95531-8928. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Baisden, Marc Werner can be contacted via phone (707) 464-2750.

Contact Information

Primary practice address
1675 Northcrest Dr Crescent City CA 95531-8928
Phone: (707) 464-2750
Fax: (707) 464-2668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CL60147106 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CL60147106 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1538302054
LBN Legal business name Baisden, Marc Werner
Credentials MA, CMHC, MSCP, CIS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2009
Last updated May 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538302054 NPPES
Alaska MEDICAID 320342477

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