Individual
KARRI BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11213 W IVORY LN, AVONDALE, AZ 85392-3916
(602) 526-1549
Mailing address
11213 W IVORY LN, AVONDALE, AZ 85392-3916
(602) 526-1549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC-22760
AZ
101YM0800X
Mental Health Counselor
Primary
LAC-22760
AZ
251S00000X
Community/Behavioral Health Agency
LAC-22760
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
LAC-22760
AZ
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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