Individual
AVA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
1306 PADDOCK DR STE E100, RALEIGH, NC 27609-4873
(919) 790-7775
Mailing address
1306 PADDOCK DR STE E100, RALEIGH, NC 27609-4873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A13012
NC
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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