Organization
JENNIFER BAKER, LLC
Active
Other names
Active Therapeutic Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNIFER BAKER LPC, RPT, ACS (OWNER)
(732) 581-2178
Entity
Organization
Contact information
Practice address
1044 LACEY RD, FORKED RIVER, NJ 08731-1051
(732) 581-2178
(609) 971-3767
Mailing address
1044 LACEY RD, FORKED RIVER, NJ 08731-1051
(732) 581-2178
(609) 971-3767
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37PC00480700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0542962
—
NJ
Enumeration date
04/09/2017
Last updated
04/09/2017
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