Doctor Name: | GEORGE S. BAKER |
NPI Number: | 1235209297 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.M.H.C. |
License Number: | 000238-1 |
Business Practice Address: | 209 Park St. Citizen Advocates, Inc. Malone, NY - 12953 |
Business Phone Number: | 5184833261 |
Business Fax Number: | 5184833383 |
Mailing Address: | 40 Grace Ave, PLATTSBURGH |
State: | NY |
Postal Code: | 129011412 |
Phone Number: | 5185621884 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 000238-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |