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Individual

AVERI M BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
231 CLARKSVILLE RD STE 4A, PRINCETON JUNCTION, NJ 08550-5300
(862) 588-6624
(847) 859-5885
Mailing address
59 ROCK RD FL 1, HAWTHORNE, NJ 07506-1568
(862) 588-6624
(847) 859-5885

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00499100
NJ
101YP2500X
Professional Counselor
Primary
37PC00934500
NJ

Other

Enumeration date
12/03/2019
Last updated
05/01/2023
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