Individual
JAMES MICHAEL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LCAS
Contact information
Practice address
318 TURNERSBURG HWY # 21, STATESVILLE, NC 28625-2798
(704) 881-0862
(704) 881-0877
Mailing address
318 TURNERSBURG HWY # 21, STATESVILLE, NC 28625-2798
(704) 881-0862
(704) 881-0877
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
666
NC
101YM0800X
Mental Health Counselor
3589
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102351
—
NC
Enumeration date
12/19/2007
Last updated
12/19/2007
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