Individual
BETHANY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
450 W BROAD ST STE 321, FALLS CHURCH, VA 22046-3318
(360) 298-2185
Mailing address
1002 JENNIFER LN, FALLS CHURCH, VA 22046-2411
(360) 298-2185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704013800
VA
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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