Individual provider · NPI-1

Kevin Baker

Counselor, Professional · Florissant, MO

NPI number1326613282
StatusActive
Last updated in NPPESMay 24, 2021

Details

NPI
1326613282
Entity type
Individual (NPI-1)
Name
Kevin Baker
Sex
Male
Sole proprietor
No
Enumeration date
May 24, 2021
Certification date
May 24, 2021
Last updated
May 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

1150 Graham Rd Ste 101&102
Florissant, MO 63031-8077

Phone 314-206-3900

Mailing address

1430 Olive St Ste 400
Saint Louis, MO 63103-2303

Phone 314-206-3700

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