Individual provider · Type 1 NPI

Kennise J. Baker, LMSW

Mental Health Counselor · Herndon, VA

NPI number 1972205425 Active

Practice location

2343 Dulles Station Blvd Apt B04
Herndon, VA 20171-6397

Call (571) 241-9834 Map

Mailing address

11415 Isaac Newton Sq S
Reston, VA 20190-5005

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0903003470 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1972205425

Kennise J. Baker, LMSW's National Provider Identifier is 1972205425, issued on Mar 20, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Herndon, VA. The record was last updated on Mar 23, 2023.