Individual
MS. CECEILIA MCADAMS BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW LMFT
Contact information
Practice address
106 MANOR AVE, SUITE 201, BARDSTOWN, KY 40004-2270
(502) 331-9433
(502) 349-1325
Mailing address
216 E FLAGET ST, BARDSTOWN, KY 40004-1520
(502) 331-1900
(502) 349-1325
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0820
KY
106H00000X
Marriage & Family Therapist
0387
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000039714
ANTHEM
—
01
—
11405612
CAQH
—
01
—
343580
MHN
—
01
—
4660971
AETNA
—
Enumeration date
03/02/2006
Last updated
05/07/2013
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