Individual
MANDY CRYSTAL BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
8 HILLVIEW DRIVE, NORTH PROVIDENCE, RI 02904
(508) 216-0077
(508) 507-3350
Mailing address
371 POTNAM PIKE STE 230 PMB 1003, SMITHFIELD, RI 02917
(508) 216-0077
(508) 507-3350
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6157
MA
101Y00000X
Counselor
MCH00986
RI
101YM0800X
Mental Health Counselor
Primary
6157
MA
Other
Enumeration date
12/13/2006
Last updated
03/08/2022
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