Doctor Name: | MR. ROY FRANKLIN BAAS |
NPI Number: | 1528089638 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LAC |
License Number: | LAC # 479 |
Business Practice Address: | 307 Hayes St Rayville, LA - 712692531 |
Business Phone Number: | 3187285488 |
Business Fax Number: | 3187286828 |
Mailing Address: | 322 Latham Ln, MONROE |
State: | LA |
Postal Code: | 712028567 |
Phone Number: | 3183251864 |
Fax Number: | |
NPI Enumeration Date: | 07/22/2006 |
NPI Last Update Date: | 11/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LAC # 479 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |