Roy Franklin Baas, LAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Rayville, LA

NPI 1528089638 · NPPES record last updated Nov 9, 2011

Key facts

NPI
1528089638
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
LAC # 479 (LA)
Practice address
307 Hayes St
Rayville, LA 71269-2531
Phone
(318) 728-5488
Fax
(318) 728-6828
NPI assigned
Jul 22, 2006
Sex
Male
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

LicenseStateTypeSpecialty
LAC # 479LAMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAC # 479 LA Yes

Addresses

Primary practice location

307 Hayes St
Rayville, LA 71269-2531

Mailing address

322 Latham LN
Monroe, LA 71202-8567
Phone (318) 325-1864

Other providers in Rayville, LA

All providers in Rayville, LA · Addiction (Substance Use Disorder) Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.