Organization
D.G. BAKER MENTAL HEALTH COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK BAKER LMHC (OWNER)
(912) 492-5825
Entity
Organization
Contact information
Practice address
4987 S EAGLE VILLAGE RD, MANLIUS, NY 13104-9459
(912) 492-5825
Mailing address
4987 S EAGLE VILLAGE RD, MANLIUS, NY 13104-9459
(912) 492-5825
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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