Individual
GABRIEL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, NCC, CCMHCE
Contact information
Practice address
12 FAIRFIELD RD, STE B3, BEAUFORT, SC 29907-2575
(843) 379-1003
(843) 379-0700
Mailing address
PO BOX 961, BEAUFORT, SC 29901-0961
(843) 379-1003
(843) 379-0700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/12/2015
Last updated
08/09/2021
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