Individual provider · Type 1 NPI

Jacob Tyler Baker

Mental Health Counselor · Grand Junction, CO

NPI number 1104471515 Active

Practice location

408 Stoneridge Ct
Grand Junction, CO 81507-1655

Call (334) 654-0456 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104471515

Jacob Tyler Baker's National Provider Identifier is 1104471515, issued on Aug 3, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Junction, CO. The record was last updated on Aug 3, 2019.