Individual provider · Type 1 NPI

Jacqueline Baker, MH21380

Addiction (Substance Use Disorder) Counselor · Jacksonville, FL

NPI number 1326415662 Active

Practice location

580 Ellis Rd S
Jacksonville, FL 32254-3582

Call (904) 423-0017 Map

Mailing address

1453 Winnebago Ave
Jacksonville, FL 32210-1156

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1326415662

Jacqueline Baker, MH21380's National Provider Identifier is 1326415662, issued on Aug 21, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 5, 2026.