Individual
RODERICK BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6343
Mailing address
714 GEORGETOWN LN, JONESBORO, GA 30236-8920
(678) 533-8515
(678) 479-9494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
553
GA
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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