Individual provider · Type 1 NPI
Jo Anne Bakeman, RN, CASAC
Addiction (Substance Use Disorder) Counselor · Fulton, NY
NPI number
1346583804
Active
Practice location
163 S 1st St
Fulton, NY 13069-1721
Fax (315) 458-2538
Mailing address
202 E Patricia Ln
North Syracuse, NY 13212-3218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 4364 (NY) |
| Registered Nurse | 163W00000X | 252125-1 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
4 other providers at this address
About NPI 1346583804
Jo Anne Bakeman, RN, CASAC's National Provider Identifier is 1346583804, issued on Apr 3, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fulton, NY. The record was last updated on Apr 3, 2013.