Individual provider · Type 1 NPI
Stacey M. Baker
Mental Health Counselor · Louisville, KY
NPI number
1871053967
Active
Practice location
1761 Dixdale Ave
Louisville, KY 40210-2217
Mailing address
PO Box 16851
Louisville, KY 40256-0851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 247021 (KY) |
Mental Health Counselor: Definition to come...
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About NPI 1871053967
Stacey M. Baker's National Provider Identifier is 1871053967, issued on Mar 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Louisville, KY. The record was last updated on Aug 1, 2022.