Dianna Baker

Individual provider Active NPI Mental Health Counselor · Ruston, LA

NPI 1073986337 · NPPES record last updated Nov 9, 2015

Key facts

NPI
1073986337
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
829 E Georgia Ave Ste 3
Ruston, LA 71270-3901
Phone
(318) 242-0750
NPI assigned
Nov 9, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

829 E Georgia Ave Ste 3
Ruston, LA 71270-3901

Mailing address

570 College Ave Apt 106
Grambling, LA 71245-2445
Phone (916) 420-4898

Other providers in Ruston, LA

All providers in Ruston, LA · Mental Health Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.