MEDICARE: JENNIFER CAREY BAER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	677111	PA

General Provider Information

NPI Number	:	1063387280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER CAREY BAER

Provider Business Mailing Address
First Line	:	931 STONEHAVEN WAY
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17403-9033
Country	:	US
Telephone Number	:	610-772-0554
Fax Number	:

Provider Business Practice Location Address
First Line	:	16 LEADERS HEIGHTS RD OFC 105
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17403-5033
Country	:	US
Telephone Number	:	717-747-6400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	10/07/2025

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