Individual
MARIA A KOCH BALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
401 W EADS PKWY, LAWRENCEBURG, IN 47025-1374
(513) 846-2482
Mailing address
401 W EADS PKWY STE 450, LAWRENCEBURG, IN 47025-1376
(812) 537-7375
(813) 537-5257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004347A
IN
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
TAX ID
KY
Enumeration date
08/21/2017
Last updated
05/30/2023
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