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Individual

ADAM DAVID ROSS BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
2233 ROCKY LN, ASHLAND, OH 44805-4701
(419) 281-3716
(419) 281-4605
Mailing address
2233 ROCKY LN, ASHLAND, OH 44805-4701
(419) 281-3716
(419) 281-4605

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.0500210
OH
101YM0800X
Mental Health Counselor
Primary
E.0500210
OH

Other

Enumeration date
08/06/2008
Last updated
06/02/2009
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