Individual
MATTHEW K BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44-102 IKEANANI DR APT 414, KANEOHE, HI 96744-6412
(808) 295-3713
Mailing address
PO BOX 1636, KANE'OHE, HI 96744
(808) 295-3713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC-419
HI
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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