Individual
MS. JESSICA RAE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S., NCSP, PLMHP
Contact information
Practice address
5124 23RD ST, COLUMBUS, NE 68601-2006
(402) 564-9888
(402) 564-9899
Mailing address
2507 7TH ST, COLUMBUS, NE 68601-6610
(402) 564-9888
(402) 564-9899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8371
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025268300
—
NE
Enumeration date
07/18/2007
Last updated
04/29/2008
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