Individual
MR. CRESTON ZANE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
4540 MACK AVE STE B, FREDERICK, MD 21703-3303
(301) 733-0330
(301) 733-4038
Mailing address
13121 BROOKLANE DR, HAGERSTOWN, MD 21742-1514
(301) 733-0330
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1532
MD
104100000X
Social Worker
LC1532
MD
Other
Enumeration date
07/28/2009
Last updated
05/24/2023
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