Individual provider · Type 1 NPI
Andre Baker
Addiction (Substance Use Disorder) Counselor · Los Angeles, CA
NPI number
1780053538
Active
Practice location
1730 W Olympic Blvd # 3A-300
Los Angeles, CA 90015-1019
Fax (213) 389-7993
Mailing address
1730 West Olympic Boulevared, 3A-300
Los Angeles, CA 90015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 168271 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1780053538
Andre Baker's National Provider Identifier is 1780053538, issued on Sep 23, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 27, 2016.