Kaitlyn Baker, BS
Counselor, Mental Health in Mattoon, IL. Individual provider (NPI-1).
NPI number1710625561
StatusActive
Last updated in NPPESMay 23, 2022
Details
- NPI
- 1710625561
- Entity type
- Individual (NPI-1)
- Name
- Kaitlyn Baker
- Credential
- BS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2022
- Certification date
- May 23, 2022
- Last updated
- May 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
750 Broadway Ave EMattoon, IL 61938-4610
Phone 217-238-5735
Mailing address
750 Broadway Ave EMattoon, IL 61938-4610
Phone 217-238-5735
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