Individual
MS. BONNIE B BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5000 NW 27TH CT, SUITE E, GAINESVILLE, FL 32606-6593
(352) 338-0397
(352) 372-6787
Mailing address
5000 NW 27TH CT, SUITE E, GAINESVILLE, FL 32606-6593
(352) 338-0397
(352) 372-6787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH0219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11378963
CAQH
—
01
—
Z1735
BCBS OF FL
FL
Enumeration date
09/07/2006
Last updated
02/25/2016
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