Individual
MRS. NICOLE ANDRA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
1517 N MAIN ST, FUQUAY VARINA, NC 27526-8579
(919) 887-1100
Mailing address
200 N HONEY SPRINGS AVE, FUQUAY VARINA, NC 27526-6924
(904) 599-4462
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13462
NC
Other
Enumeration date
02/12/2018
Last updated
10/22/2020
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