Individual
JARED KEITH BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 E BACON ST, HILLSDALE, MI 49242-1637
(517) 224-2062
(517) 224-2062
Mailing address
6573 SWEET CLOVER HILLS DR, JONESVILLE, MI 49250-9123
(517) 877-0436
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013237
MI
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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