Individual
KELLY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 293-2220
(303) 293-3977
Mailing address
11333 MESA VERDE LN, PARKER, CO 80138-3025
(303) 704-1337
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0000510
CO
101YP2500X
Professional Counselor
Primary
0013260
CO
Other
Enumeration date
04/21/2015
Last updated
09/19/2018
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