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James Edward Baker, MA
Mental Health Counselor in Dayville, Connecticut
NPI 1063446623

James Edward Baker is a Mental Health Counselor based in Portland, CT and is specialized in Mental Health. James Edward Baker practices in Dayville, CT and has the professional credentials of MA. The NPI Number for James Edward Baker is 1063446623 and holds a License No. 000013 (Connecticut).

The current practice location address for James Edward Baker is 1007 North Main Street, Dayville, CT and can be reached out via phone at 860-774-2020.

Location: 1007 North Main Street, Dayville, CT, 06480-1553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063446623
Provider Name
James Edward Baker
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1007 North Main Street, Dayville, CT, 06480-1553
Phone Number
860-774-2020
Fax Number
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000013 01 CT LADC
000079 01 CT LPC
institution
Provider Business Practice Location Address Details
Address
1007 North Main Street
City
Dayville
State
Connecticut
Zip
06241
Phone Number
860-774-2020
Fax Number
person
Provider Business Mailing Address Details
Address
1007 North Main Street
City
Dayville
State
Connecticut
Zip
06241
Phone Number
860-774-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
000079 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
000013 (Connecticut)
Definition
Definition to come...
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