Individual
MR. GORDON RAY BAKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
8421 WAYZATA BLVD STE 250, GOLDEN VALLEY, MN 55426-1382
(952) 835-6540
(952) 835-6650
Mailing address
8421 WAYZATA BLVD STE 250, GOLDEN VALLEY, MN 55426-1382
(952) 835-6540
(952) 835-6650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
CC04595
MN
Other
Enumeration date
03/17/2020
Last updated
11/26/2024
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