Individual
MR. JEFFREY D. BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
721 LINCOLN WAY E, MASSILLON, OH 44646-6829
(855) 712-9962
Mailing address
7373 SHERMAN CHURCH AVE SW LOT 2609, EAST SPARTA, OH 44626-9462
(330) 327-7494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.175216
OH
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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