Individual
MS. DIANNA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
829 E GEORGIA AVE STE 3, RUSTON, LA 71270-3901
(318) 242-0750
Mailing address
570 COLLEGE AVE APT 106, GRAMBLING, LA 71245-2445
(916) 420-4898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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