| Doctor Name: | MARTHA LESLIE BAKER |
| NPI Number: | 1275836769 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | LPC006234 |
| Business Practice Address: | 121 Old Dawson Village Rd E Building 800, Unit 010 Dawsonville, GA - 30534 |
| Business Phone Number: | 7062652244 |
| Business Fax Number: | |
| Mailing Address: | 423 Mountain Crest Dr, CLARKESVILLE |
| State: | GA |
| Postal Code: | 305232931 |
| Phone Number: | 7069698542 |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2010 |
| NPI Last Update Date: | 12/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC006234 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |