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Martha Leslie Baker, MA, LPC

Counselor, Professional in Dawsonville, GA. Individual provider (NPI-1).

NPI number1275836769
StatusActive
Last updated in NPPESDec 6, 2010

Details

NPI
1275836769
Entity type
Individual (NPI-1)
Name
Martha Leslie Baker
Credential
MA, LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 6, 2010
Last updated
Dec 6, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalLPC006234GAYes

Practice location

121 Old Dawson Village Rd E
Building 800, Unit 010
Dawsonville, GA 30534

Phone 706-265-2244

Mailing address

423 Mountain Crest Dr
Clarkesville, GA 30523-2931

Phone 706-969-8542

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