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1750639274
JENSON LIONEL BAKER
PORTSMOUTH, VA
NPI
1750639274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 1765)
Enumeration Date
2012-08-15
Last Update Date
2019-07-08
Business Address
Mr. JENSON LIONEL BAKER MS, QMHP
3801 KING STREET
PORTSMOUTH, VA 23707-2370
Phone number: 757-673-2950
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Mailing Address
Mr. JENSON LIONEL BAKER MS, QMHP
504 CHANDLER HARPER DR
PORTSMOUTH, VA 23701-2108
Phone number: 757-817-6535
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