Doctor Name: | JAMES MICHAEL BAKER |
NPI Number: | 1033393699 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, LCAS |
License Number: | 3589 |
Business Practice Address: | 318 Turnersburg Hwy # 21 Statesville, NC - 286252798 |
Business Phone Number: | 7048810862 |
Business Fax Number: | 7048810877 |
Mailing Address: | 318 Turnersburg Hwy # 21, STATESVILLE |
State: | NC |
Postal Code: | 286252798 |
Phone Number: | 7048810862 |
Fax Number: | 7048810877 |
NPI Enumeration Date: | 12/19/2007 |
NPI Last Update Date: | 12/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3589 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |