JENSON LIONEL BAKER

PORTSMOUTH, VA
NPI1750639274
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: VA  1765)
Enumeration Date2012-08-15
Last Update Date2019-07-08
Business Address
Mr. JENSON LIONEL BAKER MS, QMHP
3801 KING STREET
PORTSMOUTH, VA 23707-2370
Phone number: 757-673-2950
Mailing Address
Mr. JENSON LIONEL BAKER MS, QMHP
504 CHANDLER HARPER DR
PORTSMOUTH, VA 23701-2108
Phone number: 757-817-6535