Organization
SALLY A. BAKER, LCSW, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY BAKER LCSW (PRESIDENT)
(757) 287-3048
Entity
Organization
Contact information
Practice address
2940 N LYNNHAVEN RD, SUITE 110, VIRGINIA BEACH, VA 23452-6949
(757) 287-3048
Mailing address
2940 N LYNNHAVEN RD, SUITE 110, VIRGINIA BEACH, VA 23452-6949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904 000019
VA
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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