Individual
BECKY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADDTP
Contact information
Practice address
916 N MOUNTAIN AVE STE A, UPLAND, CA 91786-3658
(909) 932-1069
Mailing address
916 N MOUNTAIN AVE STE A, UPLAND, CA 91786-3658
(909) 932-1069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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