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NPI Code Detail

MEDICARE: KAREN MONIQUE BAKER M.A.

MEDICARE: KAREN MONIQUE BAKER M.A.
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
1106H00000XMarriage & Family TherapistLMFT90144CA

General Provider Information

NPI Number : 1861628232
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN MONIQUE BAKER M.A.
Provider Business Mailing Address
First Line : 8421 AUBURN BLVD STE 3
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-0391
Country : US
Telephone Number : 916-722-6100
Fax Number : 916-722-9229
Provider Business Practice Location Address
First Line : 8421 AUBURN BLVD STE 3
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-0391
Country : US
Telephone Number : 916-722-6100
Fax Number : 916-722-9229
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2009
Last Update Date : 11/13/2015

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