Individual
TRACEY C BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
2518 1ST AVE S, MINNEAPOLIS, MN 55404-4317
(651) 359-2074
Mailing address
2518 1ST AVE S, MINNEAPOLIS, MN 55404-4317
(651) 359-2074
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305547
MN
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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