KENNETH JAMES BAKER

MERIDIAN, ID
NPI1427391028
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: ID  LPC-3836)
Enumeration Date2013-04-02
Last Update Date2013-04-02
Business Address
MR. KENNETH JAMES BAKER LPC
2209 E COMISKY ST
MERIDIAN, ID 83646-4742
Phone number: 208-860-5777
Mailing Address
MR. KENNETH JAMES BAKER LPC
2209 E COMISKY ST
MERIDIAN, ID 83646-4742
Phone number: 208-860-5777
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