Individual
CHARLENE M BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
38 BRIDGE ST, EAST WINDSOR, CT 06088-9679
(860) 543-9380
Mailing address
PO BOX 594, EAST WINDSOR, CT 06088-0594
(860) 543-9380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000869
CT
Other
Enumeration date
06/27/2017
Last updated
09/26/2024
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