Individual
MRS. KELLY M BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LPC
Contact information
Practice address
1 KEYSTONE AVE, SUITE 100, CHERRY HILL, NJ 08003-1600
(856) 424-4142
Mailing address
1 KEYSTONE AVE, SUITE 100, CHERRY HILL, NJ 08003-1600
(848) 459-8718
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37AC00166700
NJ
101YP2500X
Professional Counselor
Primary
37PC00529200
NJ
Other
Enumeration date
12/18/2013
Last updated
04/06/2016
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