Individual
CARISSA ELOISE BAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4585 SW 185TH AVE, ALOHA, OR 97007-1557
(503) 758-9863
(503) 848-2072
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97007-1557
(503) 758-9863
(503) 848-2072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/28/2010
Last updated
12/02/2011
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