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Individual

JEFFREY P BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC ASSOCIATE

Contact information

Practice address
1101 SATELLITE VW UNIT 603, ROUND ROCK, TX 78665-1592
(512) 212-7045
Mailing address
10306 MORADO CV APT 262, AUSTIN, TX 78759-5663
(570) 801-2489

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
85794
TX

Other

Enumeration date
05/07/2021
Last updated
05/07/2021
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