Individual
MR. WALTER GARY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED,LMSW,LPC,CAC-1
Contact information
Practice address
24225 W 9 MILE RD STE 114, SOUTHFIELD, MI 48034-3990
(248) 352-8841
(248) 352-8180
Mailing address
24225 W 9 MILE RD STE 114, SOUTHFIELD, MI 48034-3990
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1-00432
MI
101YP2500X
Professional Counselor
6401007535
MI
1041C0700X
Clinical Social Worker
6801046217
MI
Other
Enumeration date
07/27/2006
Last updated
09/11/2025
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