Individual
JESSICA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6411 S EAST ST STE A, INDIANAPOLIS, IN 46227-2737
(317) 780-5750
Mailing address
1471 WEBER DR APT B, INDIANAPOLIS, IN 46227-5383
(317) 474-5002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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