Individual
MRS. MARCIA MAY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
150 BERKSHIRE RD., RANGELEY, ME 04970-0223
(207) 864-3351
(207) 864-3351
Mailing address
PO BOX 223, 150 BERKSHIRE RD., RANGELEY, ME 04970-0223
(207) 864-3351
(207) 864-3351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC #591 LMFT #592
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003806
ANTHEM BLUE CROSS
ME
01
—
2668197
AETNA PIN
ME
01
—
358286
KTRICARE
ME
01
—
4315535699
MAINECARE THROUGH PROTEA
ME
01
—
53983
MAGELLAN HEALTH SERVICES
ME
Enumeration date
08/23/2006
Last updated
07/08/2007
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