Individual
MRS. JALEA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
902 W 29TH ST, PUEBLO, CO 81008-1159
(719) 980-1734
Mailing address
902 W 29TH ST, PUEBLO, CO 81008-1159
(719) 980-1734
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0011701
CO
Other
Enumeration date
08/19/2014
Last updated
02/22/2017
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