Individual
MS. JENNIFER BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC-M
Contact information
Practice address
1165 ELKVIEW DR, SUITE 3, GAYLORD, MI 49735-2055
(989) 732-6761
Mailing address
1165 ELKVIEW DR, SUITE 3, GAYLORD, MI 49735-2055
(989) 732-6761
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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