Individual provider · Type 1 NPI
Roger Baker
Mental Health Counselor · Odessa, FL
NPI number
1154083418
Active
Practice location
10209 Lake Grove Dr
Odessa, FL 33556-2504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | MH7025 (FL) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1154083418
Roger Baker's National Provider Identifier is 1154083418, issued on Oct 13, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Odessa, FL. The record was last updated on Oct 13, 2021.