# BAKER FAMILY COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043877715
- **Authorized official:** KAREN B BALUCH LPCC, LICDC (OWNER)
- **Authorized official phone:** (440) 645-1949

## Contact information

- **Practice address:** 179 BROAD ST, CONNEAUT, OH 44030-2614
- **Practice address phone:** (440) 487-7930
- **Mailing address:** 179 BROAD ST, CONNEAUT, OH 44030-2614
- **Mailing address phone:** (440) 487-7930
- **Mailing address fax:** (440) 201-6566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 05/28/2019
- **Last updated:** 03/04/2021