Individual
RALPH BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
15 COMMERCE RD, STAMFORD, CT 06902-4549
(203) 489-0666
Mailing address
15 COMMERCE RD, STAMFORD, CT 06902-4549
(203) 489-0666
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1591
CT
Other
Enumeration date
01/25/2025
Last updated
11/01/2025
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