Individual
JEFFREY PHILLIP BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1901 S JONES BLVD, LAS VEGAS, NV 89146-1260
(702) 815-1550
(702) 815-1554
Mailing address
1901 S JONES BLVD, LAS VEGAS, NV 89146-1260
(702) 815-1550
(702) 815-1554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI0152
NV
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
12/02/2011
Last updated
01/24/2019
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