Individual
ALYSSA LENAE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 E HACKETT RD, MODESTO, CA 95358-9001
(209) 505-4765
(209) 558-1025
Mailing address
190 E HACKETT RD, MODESTO, CA 95358-9001
(209) 505-4765
(209) 558-1025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
07/24/2024
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