Individual
PROF. STEVEN EDWARD BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CAC
Contact information
Practice address
2965 NE CONNERS AVE, SUITE 280, BEND, OR 97701-7753
(541) 323-4269
(541) 383-1883
Mailing address
600 SW COLUMBIA ST, SUITE 6210, BEND, OR 97702-1099
(541) 383-3005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
C3793
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500686887
—
OR
Enumeration date
01/21/2007
Last updated
11/08/2016
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