Provider Information for 1811049125
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Mr. RONALD R BAPTIST MA, LPC
Sex: Male
NPI: 1811049125
Last Updated: 2022-06-06
Certification Date: 2022-06-06
Certification Date: 2022-06-06
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1811049125 | ||||||||||||
| Enumeration Date | 2007-01-17 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1925 DOMINION WAY STE 103 COLORADO SPRINGS, CO 80918-1484 United States Phone: 719-477-0203 | Fax:719-426-2258 | ||||||||||||
| Primary Practice Address | 1925 DOMINION WAY STE 103 COLORADO SPRINGS, CO 80918-1484 United States Phone: 719-477-0203 | Fax:719-426-2258 | ||||||||||||
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