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1831561992
CANISHA BACCHUS
BATON ROUGE, LA
NPI
1831561992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-10-28
Last Update Date
2021-03-11
Business Address
CANISHA BACCHUS
8325 KELWOOD AVE
BATON ROUGE, LA 70806-4804
Phone number: 225-239-5498
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Mailing Address
CANISHA BACCHUS
7580 KINGSPORT BLVD
NEW ORLEANS, LA 70128-2114
Phone number:
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