Individual
JEREMY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TCADC
Contact information
Practice address
320 N EISENHOWER AVENUE, MASON CITY, IA 50401
(641) 243-7258
Mailing address
320 N EISENHOWER AVE, MASON CITY, IA 50401-1521
(641) 243-7258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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