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Individual

ELIZABETH BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
800 MAIN ST STE 10, LEWISTON, ID 83501-1838
(208) 717-2288
(208) 980-7055
Mailing address
827 6TH ST, CLARKSTON, WA 99403-2002
(208) 717-2288
(208) 980-7055

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC7571540
ID
101YM0800X
Mental Health Counselor
MC61622535
WA

Other

Enumeration date
01/20/2025
Last updated
01/23/2025
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