Individual
DR. ERIN KATHLEEN SULLIVAN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN M COUN,LPC MS PHD
Contact information
Practice address
210 W BURNSIDE AVE STE A, CHUBBUCK, ID 83202-4916
(208) 233-2051
Mailing address
210 W BURNSIDE AVE STE A, CHUBBUCK, ID 83202-4916
(208) 233-2051
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-994
ID
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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