Individual
MR. CHARLES ALLEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
893 SPRING ST, PLACERVILLE, CA 95667-4437
(530) 622-8193
(530) 622-4017
Mailing address
893 SPRING ST, PLACERVILLE, CA 95667-4437
(530) 622-8193
(530) 622-4017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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