Individual
MR. GARY BRENT BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
860 PENNSYLVANIA AVE STE 202, HAGERSTOWN, MD 21742-3104
(301) 991-1893
Mailing address
10607 HERSHEY DR, WILLIAMSPORT, MD 21795-1431
(301) 991-1893
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP14875
MD
Other
Enumeration date
03/05/2024
Last updated
04/11/2024
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