Individual
JAMES EDWARD BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1007 NORTH MAIN STREET, DAYVILLE, CT 06241
(860) 774-2020
Mailing address
18 FAIRVIEW ST, PORTLAND, CT 06480-1553
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000013
CT
101YM0800X
Mental Health Counselor
000079
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013
LADC
CT
01
—
000079
LPC
CT
Enumeration date
07/10/2006
Last updated
09/11/2025
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