Individual
MR. RUSSELL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
29 N HAMILTON ST, POUGHKEEPSIE, NY 12601-2541
(845) 483-5512
(845) 483-5054
Mailing address
29 N HAMILTON ST, POUGHKEEPSIE, NY 12601-2541
(845) 483-5512
(845) 483-5054
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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