Individual
ANDRE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1730 W OLYMPIC BLVD # 3A-300, LOS ANGELES, CA 90015-1019
(213) 249-9388
(213) 389-7993
Mailing address
1730 WEST OLYMPIC BOULEVARED, 3A-300, LOS ANGELES, CA 90015
(213) 249-9388
(213) 389-7993
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
168271
CA
Other
Enumeration date
09/23/2015
Last updated
06/27/2016
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