CAROL JEAN BAKER
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1326966169- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2025 W PARK PL STE 105, COEUR D ALENE, ID, 838142787
- Phone
- (208) 771-7013
- Fax
- (208) 719-7952
Specialties & Taxonomies
Counselor, Mental Health
Primary License: ID #1971797