Individual
CAROL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1841 E WORKMAN AVE APT 44, WEST COVINA, CA 91791-1428
(626) 428-8445
Mailing address
1841 E WORKMAN AVE APT 44, WEST COVINA, CA 91791-1428
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01-049952
CA
Other
Enumeration date
09/27/2013
Last updated
08/27/2015
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