Individual
MRS. AMANDA R BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LCPC
Contact information
Practice address
40 SUMMER ST, BANGOR, ME 04401-6446
(207) 945-4240
(207) 990-3660
Mailing address
PO BOX 936, BANGOR, ME 04402-0936
(207) 945-4240
(207) 990-3660
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3591
ME
101YP2500X
Professional Counselor
XL3301
ME
Other
Enumeration date
09/20/2007
Last updated
06/27/2011
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