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Individual

MR. BENJAMIN MARK BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
17018 15TH AVE NE, SHORELINE, WA 98155
(206) 369-1224
(206) 362-7152
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155
(206) 369-1224
(206) 362-7152

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP1600X
Pastoral Counselor

Other

Enumeration date
03/29/2018
Last updated
03/29/2018
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