Individual
TINA SIMPSON BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTER DEGREE
Contact information
Practice address
4710 E VERBENA DR, PHOENIX, AZ 85044-4968
(602) 743-5193
Mailing address
4710 E VERBENA DR, PHOENIX, AZ 85044-4968
(602) 743-5193
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC12396
AZ
101YP2500X
Professional Counselor
Primary
LPCC15226
CA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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