Individual
MISS NICOLE L BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CADC, MHRT/CSP
Contact information
Practice address
10 CALDWELL RD, AUGUSTA, ME 04330-5735
(207) 626-3448
Mailing address
42 STARKEY RIDGE ROAD, CHINA, ME 04358
(207) 557-2087
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC6889
ME
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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