Individual
DANA LYNN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3015 VILLAGE OFFICE PL # B, CHAMPAIGN, IL 61822-7674
(217) 239-6085
(217) 356-7964
Mailing address
2501 SOUTHWOOD DR, CHAMPAIGN, IL 61821-5720
(847) 915-8654
(217) 398-9077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.012562
IL
101YP2500X
Professional Counselor
Primary
180.012875
IL
Other
Enumeration date
12/07/2016
Last updated
09/24/2021
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