Active NPIIndividual providerSole proprietor

Courtney Baker, LADC

Counselor, Addiction (Substance Use Disorder) in Wilder, Vermont

NPI Number1689031221
Practice location
39 Fogg Farm Road, Wilder, VT 05088
Fax
802-295-1312
Last updated
April 14, 2021

Courtney Baker is a Counselor, Addiction (Substance Use Disorder) based in Wilder, VT. Courtney Baker practices in Wilder, VT and has the professional credentials of LADC. The NPI Number for Courtney Baker is 1689031221 and holds a License No. 000702 (VT). The current practice location address for Courtney Baker is 39 Fogg Farm Road, Wilder, VT 05088 and can be reached out via phone at 802-295-1311 and via fax at 802-295-1312.

Provider Profile Details

NPI Number
1689031221
Provider Name
Courtney Baker
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
39 Fogg Farm Road, Wilder, VT 05088
Phone Number
802-295-1311
Fax Number
802-295-1312
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
January 27, 2016
Last Update Date
April 14, 2021
Certification Date
April 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 Fogg Farm Road
Wilder, VT 05088
City
Wilder
State
Vermont
Zip
05088
Phone Number
802-295-1311
Fax Number
802-295-1312
Wilder, VT 05088Get directions →

Provider Business Mailing Address Details

Address
Po Box G
Randolph, VT 05060-0167
City
Randolph
State
VT
Zip
05060-0167
Phone Number
802-728-4466
Fax Number
802-428-4197

License Information

License Number
000702
License State
VT
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Courtney Baker, LADC?

The NPI number of Courtney Baker, LADC is 1689031221. It was assigned on January 27, 2016 and is currently active in the NPPES registry.

What is the specialty of Courtney Baker, LADC?

Courtney Baker, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 000702.

Where does Courtney Baker, LADC practice?

The practice location is 39 Fogg Farm Road, Wilder, VT 05088. The office can be reached at 802-295-1311 (phone) or 802-295-1312 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689031221 directly on the NPPES registry website.

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