Individual provider · Type 1 NPI

Makenzie Baker X, BS

Addiction (Substance Use Disorder) Counselor · Fairfield, IL

NPI number 1780053348 Active

Practice location

407 N Basin Rd
Fairfield, IL 62837-9639

Fax (618) 842-4154

Mailing address

504 Micah Dr, Drawer M
Olney, IL 62450-4720

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed

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

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About NPI 1780053348

Makenzie Baker X, BS's National Provider Identifier is 1780053348, issued on Sep 24, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, IL. The record was last updated on Sep 24, 2015.