Individual provider · Type 1 NPI
Kelly Marie Baker
Addiction (Substance Use Disorder) Counselor · Pittsfield, IL
NPI number
1841494085
Active
Practice location
121 S Madison
Pittsfield, IL 62363
Fax (217) 285-2804
Mailing address
1301 N 2353rd Ln
Mendon, IL 62351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Pittsfield
About NPI 1841494085
Kelly Marie Baker's National Provider Identifier is 1841494085, issued on Jun 12, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pittsfield, IL. The record was last updated on Jul 8, 2007.