Organization
SUPPORT ONE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG BAKER MFT (DIRECTOR)
(925) 565-6414
Entity
Organization
Contact information
Practice address
15041 S GALLANT DR, BLUFFDALE, UT 84065-4987
(925) 565-6414
Mailing address
15041 S GALLANT DR, BLUFFDALE, UT 84065-4987
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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