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MAGAN DANIELLE BAIZE MILLSAPS LPCC, LCADC

Individual Provider (NPI-1) Active

Counselor, Professional

Provider Information

NPI Number
1447617113
Provider Type
Individual Provider (NPI-1)
Credentials
LPCC, LCADC
Status
Active

Contact & Location

Address
1100 WALNUT ST, OWENSBORO, KY, 42301
Phone
(270) 689-6547
Fax
(270) 689-6689

Specialties & Taxonomies

Counselor License: KY #165042
Counselor, Addiction (Substance Use Disorder) License: KY #164978
Counselor, Professional License: KY #164978
Counselor, Professional Primary License: KY #241828

All Addresses

LOCATION

1100 WALNUT ST

OWENSBORO, KY, 42301

(270) 689-6547

MAILING

1100 WALNUT ST

OWENSBORO, KY, 423012956

(270) 689-6547