Individual
MRS. CHARISE LYNNETTE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1368 UNION BLVD, SAINT LOUIS, MO 63113-1325
(314) 550-9888
Mailing address
1368 UNION BLVD, SAINT LOUIS, MO 63113-1325
(314) 550-9888
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011005637
MO
Other
Enumeration date
03/18/2011
Last updated
02/23/2014
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