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Timothy Baker

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

NPI number1245167659
StatusActive
Last updated in NPPESMay 7, 2026

Details

NPI
1245167659
Entity type
Individual (NPI-1)
Name
Timothy Baker
Sex
Male
Sole proprietor
No
Enumeration date
May 7, 2026
Certification date
May 7, 2026
Last updated
May 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

325 Il Route 2
Dixon, IL 61021-9118

Phone 779-861-8400

Mailing address

325 Il Route 2
Dixon, IL 61021-9118

Phone 779-861-8400

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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