Individual
CHAISON BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
648 BRONX RIVER ROAD, YONKERS, NY 10704
(860) 752-2745
Mailing address
648 BRONX RIVER ROAD, YONKERS, NY 10704
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247665656
DRIVERS LICENSE
CT
Enumeration date
08/11/2017
Last updated
08/11/2017
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