Individual
JACQUELYN H BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA, LP, LMFT
Contact information
Practice address
2855 CAMPUS DR, SUITE 400, PLYMOUTH, MN 55441-2649
(612) 577-7400
(612) 577-7440
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0983
MN
106H00000X
Marriage & Family Therapist
Primary
131
MN
Other
Enumeration date
04/10/2006
Last updated
09/11/2025
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