Individual
JEREMY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16965 PINE LN, PARKER, CO 80134-6516
(720) 441-4281
Mailing address
16965 PINE LN, PARKER, CO 80134-6516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC12614
CO
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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