Individual provider · NPI-1

Jamal Baker

Counselor, Professional · Mableton, GA

NPI number1821724196
StatusActive
Last updated in NPPESJul 28, 2022

Details

NPI
1821724196
Entity type
Individual (NPI-1)
Name
Jamal Baker
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 28, 2022
Certification date
Jul 28, 2022
Last updated
Jul 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalLPC008214GAYes

Practice location

887 Gramercy Hills Ln
Mableton, GA 30126-7251

Phone 678-640-7644

Mailing address

887 Gramercy Hills Ln
Mableton, GA 30126-7251

Phone 678-640-7644

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