Individual provider · NPI-1

Vaughn L Baker, mfti

Marriage & Family Therapist · San Leandro, CA

NPI number1659544393
StatusActive
Last updated in NPPESApr 2, 2008

Details

NPI
1659544393
Entity type
Individual (NPI-1)
Name
Mr. Vaughn L Baker
Credential
mfti
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 2, 2008
Last updated
Apr 2, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapistimf 46850CAYes

Practice location

525 Estudillo Ave Ste B
San Leandro, CA 94577-4639

Phone 510-357-0550 · Fax 510-357-1331

Mailing address

525 Estudillo Ave Ste B
San Leandro, CA 94577-4639

Phone 510-357-0550 · Fax 510-357-1331

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