Individual
STEPHANIE VICTORIA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1105 BELLEVIEW ST STE 101103, COLUMBIA, SC 29201-1839
(803) 401-5644
Mailing address
2625 RUTLEDGE ST, COLUMBIA, SC 29204-2520
(803) 442-2200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9359
SC
Other
Enumeration date
03/14/2022
Last updated
02/14/2024
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