Individual
MS. TANDRA T BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MH, LAC, QMHP
Contact information
Practice address
5708 S REMINGTON PL STE 400, SIOUX FALLS, SD 57108
(605) 530-2968
Mailing address
5708 S REMINGTON PL STE 400, SIOUX FALLS, SD 57108-5160
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
05051221
SD
101YM0800X
Mental Health Counselor
Primary
LPC-MH2142
SD
Other
Enumeration date
10/18/2006
Last updated
07/02/2018
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