Individual
AMANDA LEA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19351 8TH AVE NE STE 141, POULSBO, WA 98370-7087
(360) 598-3929
(360) 598-4114
Mailing address
3314 SE NAVIGATION LN APT 206, PORT ORCHARD, WA 98366-2887
(360) 843-9707
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WA
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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