Individual
MRS. SOPHIA TERESA BAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2180 UNION AVE, MEMPHIS, TN 38104-4205
(901) 545-9083
Mailing address
14245 MILLER STATION LN, OLIVE BRANCH, MS 38654-6338
(901) 545-9083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7127
TN
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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