Individual
MRS. CHERYL A BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10108 W OVERLAND RD # A, BOISE, ID 83709-1428
(208) 761-5323
(208) 375-7251
Mailing address
PO BOX 548, 204 SOUTH STREET, ANNA, IL 62906-0548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-6499
ID
164W00000X
Licensed Practical Nurse
043-068761
IL
Other
Enumeration date
12/08/2009
Last updated
11/26/2019
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