Individual
REGINA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 E GARRISON BLD, GASTONIA, NC 28054-0551
(704) 864-6573
Mailing address
2075 W BIG BEAVER RD STE 520, TROY, MI 48084-3442
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
4101006569
—
106H00000X
Marriage & Family Therapist
Primary
8003A
NC
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346587953
DONT TAKE
—
Enumeration date
01/16/2013
Last updated
07/21/2022
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