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Emily Nicole Baker, BS

Counselor, Mental Health in Mattoon, IL. Individual provider (NPI-1).

NPI number1174016851
StatusActive
Last updated in NPPESJun 7, 2018

Details

NPI
1174016851
Entity type
Individual (NPI-1)
Name
Emily Nicole Baker
Credential
BS
Sex
Female
Sole proprietor
No
Enumeration date
Jun 7, 2018
Last updated
Jun 7, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

750 Broadway Ave E
Mattoon, IL 61938-4610

Phone 217-238-5700 · Fax 217-238-5767

Mailing address

750 Broadway Ave E
Mattoon, IL 61938-4610

Phone 217-238-5700 · Fax 217-238-5767

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