Individual
ALEXIS TAYLOR BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
452 S AUBURN ST, GRASS VALLEY, CA 95945-7235
(530) 913-7221
Mailing address
417 MANZANITA WAY, COLFAX, CA 95713-9201
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
146453
CA
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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