Individual
MRS. CHRISTINE YOUNG BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20871 JOHNSON ST STE 105, PEMBROKE PINES, FL 33029-1918
(954) 843-0273
(954) 404-6198
Mailing address
20871 JOHNSON ST STE 105, PEMBROKE PINES, FL 33029-1918
(954) 593-4097
(954) 404-6198
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 13390
FL
103K00000X
Behavior Analyst
MH13390
FL
171M00000X
Case Manager/Care Coordinator
CBHCMS101102
FL
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101057900
—
FL
05
—
105672500
—
FL
Enumeration date
06/01/2015
Last updated
05/16/2024
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