Individual
JACOB CHRISTOPHER BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHCA
Contact information
Practice address
3800 ARCO CORPORATE DR STE 150, CHARLOTTE, NC 28273-4396
(866) 700-1606
Mailing address
11314 PARK RD, CHARLOTTE, NC 28226-4681
(704) 771-8541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17560
NC
101YP2500X
Professional Counselor
A17560
NC
Other
Enumeration date
07/29/2022
Last updated
10/29/2024
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