Individual provider · Type 1 NPI
Jamie Baha, MA, LAC
Professional Counselor · White River, AZ
NPI number
1912456732
Active
Practice location
302 West Ponderosa Street
White River, AZ 85941
Mailing address
302 West Ponderosa Drive
White River, AZ 85941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 15560 (AZ) |
Professional Counselor: Definition to come...
About NPI 1912456732
Jamie Baha, MA, LAC's National Provider Identifier is 1912456732, issued on Sep 22, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in White River, AZ. The record was last updated on Sep 22, 2016.