Individual
SELENA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1832 KEMPSVILLE ROAD, STE 112 #409, VIRGINIA BEACH, VA 23464
(757) 472-7721
Mailing address
PO BOX 62036, VIRGINIA BEACH, VA 23466-2036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701015305
VA
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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