Organization
BAKER FAMILY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN B BALUCH LPCC, LICDC (OWNER)
(440) 645-1949
Entity
Organization
Contact information
Practice address
179 BROAD ST, CONNEAUT, OH 44030-2614
(440) 487-7930
Mailing address
179 BROAD ST, CONNEAUT, OH 44030-2614
(440) 487-7930
(440) 201-6566
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0314924
—
OH
Enumeration date
05/28/2019
Last updated
03/04/2021
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