Individual
ANTONIO BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1231 FARMERVILLE HWY, RUSTON, LA 71270-3513
(318) 224-7017
(318) 224-7018
Mailing address
1231 FARMERVILLE HWY, RUSTON, LA 71270-3513
(318) 224-7017
(318) 224-7018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009022335
LA
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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