Individual
JAMAL BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
887 GRAMERCY HILLS LN, MABLETON, GA 30126-7251
(678) 640-7644
Mailing address
887 GRAMERCY HILLS LN, MABLETON, GA 30126-7251
(678) 640-7644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008214
GA
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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