SHUKAIRO MACK BAKER APRN, PMHNP-BC, LCSW
Individual Provider (NPI-1)
Active
Nurse Practitioner, Psych/Mental Health
Provider Information
- NPI Number
1659666444- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN, PMHNP-BC, LCSW
- Status
- Active
Contact & Location
- Address
- 455 LAKESHORE PKWY, ROCK HILL, SC, 297304205
- Phone
- (803) 909-6363
- Fax
- (803) 909-6390
Specialties & Taxonomies
Nurse Practitioner, Psych/Mental Health
License: VA #0024194469
Nurse Practitioner, Psych/Mental Health
License: NV #890763
Nurse Practitioner, Psych/Mental Health
License: AZ #317733
Nurse Practitioner, Psych/Mental Health
License: WA #AP70007419
Social Worker, Clinical
License: SC #11094
Nurse Practitioner, Psych/Mental Health
License: UT #13998789-4405
Nurse Practitioner, Psych/Mental Health
License: FL #APRN11044782
Nurse Practitioner, Psych/Mental Health
License: UT #13998789-8900
Social Worker, Clinical
License: NC #C008389
Nurse Practitioner, Psych/Mental Health
License: CO #C-RXN.0102908-C-NP
Counselor, Addiction (Substance Use Disorder)
License: NC #C008389
Nurse Practitioner, Psych/Mental Health
License: SC #31253A
Nurse Practitioner, Psych/Mental Health
Primary License: NC #5020242
Nurse Practitioner, Psych/Mental Health
License: MT #254611
All Addresses
MAILING
455 LAKESHORE PKWY
ROCK HILL, SC, 297304205