Individual
JACQUELYN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 NE 50TH ST, OKLAHOMA CITY, OK 73141-9118
(405) 605-6116
Mailing address
6501 NE 50TH ST, OKLAHOMA CITY, OK 73141-9118
(405) 605-6116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6450
OK
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
09/05/2012
Last updated
04/22/2025
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