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Individual

JOHN BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
214 OAKLEIGH DR, BOONEVILLE, MS 38829-8241
(662) 523-0579
Mailing address
214 OAKLEIGH DR, BOONEVILLE, MS 38829-8241
(662) 523-0579
(662) 286-8095

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1330
MS

Other

Enumeration date
02/19/2008
Last updated
11/04/2016
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