Individual
MRS. AMANDA ANN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1 AKRON GENERAL AVE, AKRON, OH 44307-2432
(330) 344-6107
Mailing address
1 AKRON GENERAL AVE, AKRON, OH 44307-2432
(330) 344-6000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161429
OH
101YM0800X
Mental Health Counselor
Primary
E.2002004
OH
104100000X
Social Worker
S 30540
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0340044
—
OH
Enumeration date
07/17/2012
Last updated
12/04/2020
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