Individual
MS. SAMIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDUC SPECIALIST LCPC
Contact information
Practice address
2222 OVERLAND AVE, BARLEY, ID 83318
(208) 878-3423
Mailing address
PO BOX 73, HAGERMAN, ID 83332
(208) 837-4600
(208) 837-4646
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC3641
ID
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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