Individual provider · Type 1 NPI

Roderick Baker, CADC II

Addiction (Substance Use Disorder) Counselor · Lawrenceville, GA

NPI number 1508283979 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Call (678) 209-2394 Map

Fax (678) 212-6343

Mailing address

714 Georgetown Ln
Jonesboro, GA 30236-8920

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X553 (GA)

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

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About NPI 1508283979

Roderick Baker, CADC II's National Provider Identifier is 1508283979, issued on Mar 24, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lawrenceville, GA. The record was last updated on Mar 24, 2014.