Individual
CHANELLE S BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 PEARL ST STE 3, STOUGHTON, MA 02072-1617
(781) 344-0057
Mailing address
28 AUSTIN ST APT 324, NEWTONVILLE, MA 02460-1867
(857) 212-8527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/14/2024
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