Individual provider · Type 1 NPI

Canisha Bacchus

Mental Health Counselor · Baton Rouge, LA

NPI number 1831561992 Active

Practice location

8325 Kelwood Ave
Baton Rouge, LA 70806-4804

Call (225) 239-5498 Map

Mailing address

7580 Kingsport Blvd
New Orleans, LA 70128-2114

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1831561992

Canisha Bacchus's National Provider Identifier is 1831561992, issued on Oct 28, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baton Rouge, LA. The record was last updated on Mar 11, 2021.