Individual
MR. KEVIN DALE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
2226 HOMECREST AVE, KALAMAZOO, MI 49001
(269) 303-0345
Mailing address
2226 HOMECREST AVE, KALAMAZOO, MI 49001-4551
(269) 303-0345
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401010547
MI
101YM0800X
Mental Health Counselor
Primary
6401010547
MI
Other
Enumeration date
05/07/2009
Last updated
05/20/2013
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