Individual
JENNIFER A BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC RPT ACS
Contact information
Practice address
1044 LACEY RD, SUITE 7, FORKED RIVER, NJ 08731-1051
(732) 581-2178
Mailing address
108 2ND AVE, APT 15C, BRADLEY BEACH, NJ 07720-1184
(732) 581-2178
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00480700
NJ
Other
Enumeration date
09/30/2013
Last updated
05/14/2016
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