Doctor Name: | JENNIFER A BAKER |
NPI Number: | 1285061747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC RPT ACS |
License Number: | 37PC00480700 |
Business Practice Address: | 1044 Lacey Rd Suite 7 Forked River, NJ - 087311051 |
Business Phone Number: | 7325812178 |
Business Fax Number: | |
Mailing Address: | 108 2nd Ave, Apt 15c BRADLEY BEACH |
State: | NJ |
Postal Code: | 077201184 |
Phone Number: | 7325812178 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2013 |
NPI Last Update Date: | 05/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00480700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |