Andrew Baker
Counselor, Professional in Modesto, CA. Individual provider (NPI-1).
NPI number1477955441
StatusActive
Last updated in NPPESSep 22, 2014
Details
- NPI
- 1477955441
- Entity type
- Individual (NPI-1)
- Name
- Andrew Baker
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 22, 2014
- Last updated
- Sep 22, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
4640 Spyres WayBldg. B Ste 7
Modesto, CA 95356-9800
Phone 209-558-4595
Mailing address
800 Scenic DrSte A
Modesto, CA 95350-6131
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