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NPI Code Detail

MEDICARE: NICOLE BAKER

MEDICARE:   NICOLE  BAKER
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
1101YM0800XMental Health Counselor
2101YM0800XMental Health CounselorLH61597189WA

General Provider Information

NPI Number : 1417578543
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE BAKER
Provider Business Mailing Address
First Line : 100 N HOWARD ST STE W
Second Line : STE W
City : SPOKANE
State : WA
Zip : 99201-0508
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7100 FORT DENT WAY STE 220
Second Line :
City : TUKWILA
State : WA
Zip : 98188-8553
Country : US
Telephone Number : 425-578-5144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2020
Last Update Date : 01/19/2026

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Directions to “ NICOLE BAKER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.