Individual
SUSAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED MENTAL HEALTH
Contact information
Practice address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-6711
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-6711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
4015
TN
Other
Enumeration date
08/01/2014
Last updated
08/08/2017
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