Individual
GENRE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 PELLIS RD, GREENSBURG, PA 15601-4505
(724) 300-8078
Mailing address
274 MALTS LN, NORTH HUNTINGDON, PA 15642-1823
(724) 261-0193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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