Individual
HEATHER MARIA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
217 N WATER ST, KENT, OH 44240-2462
(440) 225-3066
Mailing address
4941 ROOTSTOWN RD, RAVENNA, OH 44266-7826
(440) 225-3066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1000408 SUPV
OH
Other
Enumeration date
09/06/2011
Last updated
07/12/2024
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