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Individual

JORDON LEE BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
STNA

Contact information

Practice address
680 PARK AVE W, MANSFIELD, OH 44906-3706
(195) 285-9934
(567) 560-5483
Mailing address
120 CARPENTER RD, MANSFIELD, OH 44903-2208
(419) 543-1084

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.193137
OH
101YS0200X
School Counselor
Primary
C.2507031-TRNE
OH
374U00000X
Home Health Aide
401880740716
OH

Other

Enumeration date
03/05/2018
Last updated
08/13/2025
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