person
Kennise J Baker, LMSW
Mental Health Counselor in Herndon, Virginia
NPI 1972205425

Kennise J Baker is a Mental Health Counselor based in Reston, VA and is specialized in Mental Health. Kennise J Baker practices in Herndon, VA and has the professional credentials of LMSW. The NPI Number for Kennise J Baker is 1972205425 and holds a License No. 0903003470 (Virginia).

The current practice location address for Kennise J Baker is 2343 Dulles Station Blvd Apt B04, Herndon, VA and can be reached out via phone at 571-241-9834.

Location: 2343 Dulles Station Blvd Apt B04, Herndon, VA, 20190-5005
person
Provider Profile Details
NPI Number
1972205425
Provider Name
Kennise J Baker
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
2343 Dulles Station Blvd Apt B04, Herndon, VA, 20190-5005
Phone Number
571-241-9834
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2343 Dulles Station Blvd Apt B04
City
State
Zip
20171-6397
Phone Number
571-241-9834
Fax Number
person
Provider Business Mailing Address Details
Address
2343 Dulles Station Blvd Apt B04
City
State
Zip
20171-6397
Phone Number
571-241-9834
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0903003470 (Virginia)
Definition
Definition to come...
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