Doctor Name: | DAN JAMES BAYLY |
NPI Number: | 1184945677 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | LPC-4442 |
Business Practice Address: | 818 S Washigton St Moscow, ID - 83843 |
Business Phone Number: | 2088828514 |
Business Fax Number: | 2088822784 |
Mailing Address: | 818 S Washigton St., MOSCOW |
State: | ID |
Postal Code: | 838433049 |
Phone Number: | 2088828514 |
Fax Number: | 2088822784 |
NPI Enumeration Date: | 06/18/2010 |
NPI Last Update Date: | 06/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC-4442 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |