NPI Profile for KEVIN D BAKER in KALAMAZOO, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
NPI # | 1063646875 |
|
Status | Active | |
Credentials | MA, LPC | |
Entity | Individual | |
Enumeration date | 05/07/2009 | |
Last updated | 05/20/2013 - About 11 years ago | |
Sole proprietor 1 | Yes | |
Identifiers |
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|
Hospital affiliation(s) | Not Available |
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KEVIN D BAKER
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