Erica Whipple Baker, CACII

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cortez, CO

NPI 1043345754 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1043345754
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
6372 (CO)
Practice address
35 N Ash St
Cortez, CO 81321-3201
Phone
(970) 565-4109
Fax
(970) 565-8804
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6372COMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6372 CO Yes

Addresses

Primary practice location

35 N Ash St
Cortez, CO 81321-3201

Mailing address

35 N Ash St
Cortez, CO 81321-3201
Phone (970) 565-4109

Other identifiers

IdentifierTypeStateIssuer
37129368MedicaidCO

Other providers in Cortez, CO

All providers in Cortez, CO · Addiction (Substance Use Disorder) Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.