Provider / Organization | NPI | Date Certified |
---|---|---|
DEOGRATIAS BARANSAKA | 1598090151 | 2024-10-13 |
Deogratias Baransaka is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598090151. Registration indicates Deogratias Baransaka is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Mr. Deogratias Baransaka MA |
Practice Office Address | 7215 W IRONWOOD DR PEORIA, AZ US |
Practice Office Telephone | 6237608378 |
Practice Office Fax | 6235948992 |
Mailing Address | 7215 W IRONWOOD DR PEORIA, AZ 853456805 US |
Business Telephone | 6237608378 |
Business Fax | 6235948992 |
Code | Practice | License No State |
---|---|---|
101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | BH4311
AZ |