person
Brad Baker, PHD
Professional Counselor in Idaho Falls, Idaho
NPI 1245391549

Brad Baker is a Professional Counselor based in Idaho Falls, ID and is specialized in Professional. Brad Baker practices in Idaho Falls, ID and has the professional credentials of PHD. The NPI Number for Brad Baker is 1245391549 and holds a License No. LCPC-3192 (Idaho).

The current practice location address for Brad Baker is 2235 E 25Th St Ste 290, Idaho Falls, ID and can be reached out via phone at 208-552-0490 and via fax at 208-552-2518. You can also correspond with Brad Baker through the mailing address at PO BOX 3480, IDAHO FALLS, ID - 83403-3480 (mailing address contact number: 208-525-2090).

Location: 2235 E 25Th St Ste 290, Idaho Falls, ID, 83403-3480
person
Provider Profile Details
NPI Number
1245391549
Provider Name
Brad Baker
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2235 E 25Th St Ste 290, Idaho Falls, ID, 83403-3480
Phone Number
208-552-0490
Fax Number
208-552-2518
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806472900 05 ID
institution
Provider Business Practice Location Address Details
Address
2235 E 25Th St Ste 290
City
State
Zip
83404-7595
Phone Number
208-552-0490
Fax Number
208-552-2518
person
Provider Business Mailing Address Details
Address
2235 E 25Th St Ste 290
City
State
Zip
83404-7595
Phone Number
208-552-0490
Fax Number
208-552-2518
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCPC-3192 (Idaho)
Definition
Definition to come...
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