Individual
COURTNEY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
39 FOGG FARM ROAD, WILDER, VT 05088
(802) 295-1311
(802) 295-1312
Mailing address
PO BOX G, RANDOLPH, VT 05060-0167
(802) 728-4466
(802) 428-4197
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000702
VT
Other
Enumeration date
01/27/2016
Last updated
04/14/2021
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