Provider Demographics
NPI:1497072078
Name:BAESEL, CHRISTEN
Entity Type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:
Last Name:BAESEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTEN
Other - Middle Name:
Other - Last Name:FINCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1230
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47706-1230
Mailing Address - Country:US
Mailing Address - Phone:812-471-4611
Mailing Address - Fax:812-471-4514
Practice Address - Street 1:445 N CROSS POINTE BLVD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715
Practice Address - Country:US
Practice Address - Phone:812-471-4611
Practice Address - Fax:812-471-4514
Is Sole Proprietor?:No
Enumeration Date:2010-04-22
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IN39003384A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health