Individual
ALYSSA TAYLOR BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, TCADC
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
3359 BARBOURVILLE RD, LONDON, KY 40744-9548
(606) 215-9175
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
174716
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902023526
—
KY
Enumeration date
04/27/2018
Last updated
04/27/2018
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