Individual
MS. BONNIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CACD
Contact information
Practice address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
(610) 446-2722
Mailing address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
(610) 446-2722
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6613
PA
101YP2500X
Professional Counselor
Primary
PC004044
PA
Other
Enumeration date
09/11/2007
Last updated
09/30/2009
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