Individual
MS. JO ANNE BAKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CASAC
Contact information
Practice address
163 S 1ST ST, FULTON, NY 13069-1721
(315) 427-3899
(315) 458-2538
Mailing address
202 E PATRICIA LN, NORTH SYRACUSE, NY 13212-3218
(315) 458-2538
(315) 458-2538
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4364
NY
163W00000X
Registered Nurse
252125-1
NY
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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