Alex Lee Baccus
NPI #1356062129 in Centralia, Washington
Provider Information
- NPI Number
- 1356062129
- Entity Type
- Individual
- Name
- Alex Lee Baccus
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Sep 8, 2022
- Last Updated
- Sep 8, 2022
Practice Location
- Address
- 1707 COOKS HILL RD
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-9071
- Phone
- (360) 523-8396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Peer Specialist |
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