Individual
BONNIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
12202 PACIFIC AVE S STE D, PARKLAND, WA 98444-5157
(253) 535-3919
(253) 535-4155
Mailing address
13016 138TH AVENUE KP N, GIG HARBOR, WA 98329-5301
(253) 535-3919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RC00050628
WA
Other
Enumeration date
05/01/2007
Last updated
05/22/2008
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