Individual
CORDELL BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2795 VIA CABALLERO DEL SUR, SANTA FE, NM 87505-5333
(505) 506-8918
Mailing address
2795 VIA CABALLERO DEL SUR, SANTA FE, NM 87505-5333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0164951
NM
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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