Patricia Mae Blaser-Baas, CAC 1149
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Monroe, LA
NPI 1083968705 · NPPES record last updated Nov 2, 2012
Key facts
- NPI
- 1083968705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CAC1149 (LA)
- Practice address
- 4800 S Grand St
Monroe, LA 71202-6412 - Phone
- (318) 362-3339
- Fax
- (318) 362-3336
- NPI assigned
- Nov 2, 2012
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAC1149 | LA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC1149 | LA | Yes |
Addresses
Primary practice location
4800 S Grand St
Monroe, LA 71202-6412
Mailing address
4800 S Grand St
Monroe, LA 71202-6412
Phone (318) 362-3339
Other providers in Monroe, LA
- Richard Joseph Blanchard Jr.
- Stephen Paul Blanchard Sr.
- Ross Edward Bland
- Deborah Blanson
- Vernita Blanson
- Blessing Heart Care Service
- Blessing Heart Care Service
- Blessing Heart Care Service
- Blessing Heart Care Service
- Blessings Beyond Skies Transportation LLC
All providers in Monroe, LA · Addiction (Substance Use Disorder) Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.