Individual
JACQUELYN B BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
340 MORRIS AVE S, RENTON, WA 98057-2521
(206) 717-5915
Mailing address
22027 6TH AVE S APT 307, DES MOINES, WA 98198-6268
(412) 728-3890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LH61344290
WA
Other
Enumeration date
08/03/2017
Last updated
05/05/2023
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