Individual
KRISTINE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
10138 WASHINGTON ST, COPENHAGEN, NY 13626-2814
(315) 767-3496
Mailing address
PO BOX 47, COPENHAGEN, NY 13626-0047
(315) 767-3496
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001593
NY
Other
Enumeration date
10/22/2019
Last updated
03/28/2025
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