Individual
MRS. ANDREA L BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536
(859) 323-5544
Mailing address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
168835
KY
1041C0700X
Clinical Social Worker
Primary
3970
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
02/08/2007
Last updated
06/13/2019
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