Individual
MR. JEFFREY L BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D, MAC,HS-BCP
Contact information
Practice address
8014 CUMMING HWY, SUITE 403-302, CANTON, GA 30115-9339
(404) 806-0434
(770) 720-2335
Mailing address
8014 CUMMING HWY, SUITE 403-302, CANTON, GA 30115-9339
(404) 806-0434
(770) 720-2335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
160
FL
101YM0800X
Mental Health Counselor
—
FL
101YM0800X
Mental Health Counselor
—
NC
101YP2500X
Professional Counselor
Primary
—
NC
102L00000X
Psychoanalyst
335G
FL
1041C0700X
Clinical Social Worker
—
FL
1041C0700X
Clinical Social Worker
—
NC
170300000X
Genetic Counselor (M.S.)
—
NC
171M00000X
Case Manager/Care Coordinator
—
NC
246Y00000X
Health Information Specialist/Technologist
335G
FL
Other
Enumeration date
01/22/2009
Last updated
06/01/2010
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