| Doctor Name: | BONNIE BAKER |
| NPI Number: | 1285855734 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CDP |
| License Number: | RC00050628 |
| Business Practice Address: | 12202 Pacific Ave S Ste D Parkland, WA - 984445157 |
| Business Phone Number: | 2535353919 |
| Business Fax Number: | 2535354155 |
| Mailing Address: | 13016 138th Avenue Kp N, GIG HARBOR |
| State: | WA |
| Postal Code: | 983295301 |
| Phone Number: | 2535353919 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 05/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | RC00050628 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |