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NPI Code Detail

MEDICARE: MARTIN BAKER MA,LPCC

MEDICARE: MARTIN BAKER MA,LPCC
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 CounselorLPCC.0016871CO
2101YM0800XMental Health CounselorLPC.0018080CO

General Provider Information

NPI Number : 1639743982
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN BAKER MA,LPCC
Provider Business Mailing Address
First Line : 9475 BRIAR VILLAGE PT STE 319
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7905
Country : US
Telephone Number : 970-310-3406
Fax Number :
Provider Business Practice Location Address
First Line : 9475 BRIAR VILLAGE PT STE 319
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7905
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2021
Last Update Date : 03/24/2022

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Directions to “ MARTIN BAKER MA,LPCC” Practice Location

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