Doctor Name: | MS. JIMIA L. BAKER |
NPI Number: | 1710210638 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 62909 |
Business Practice Address: | 3800 County Road 94 #21303 Manvel, TX - 775782958 |
Business Phone Number: | 8324430784 |
Business Fax Number: | |
Mailing Address: | 3800 County Road 94, #21303 MANVEL |
State: | TX |
Postal Code: | 775782958 |
Phone Number: | 8324430784 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2009 |
NPI Last Update Date: | 03/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 62909 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |