Individual
CASSANDRA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPCA
Contact information
Practice address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701
(270) 765-2605
Mailing address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPCCCA00225103
KY
101YP2500X
Professional Counselor
Primary
242157
KY
Other
Enumeration date
02/29/2016
Last updated
05/31/2018
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