Pam Baker
Individual provider Active NPI Mental Health Counselor · Durant, OK
NPI 1265716872 · NPPES record last updated Sep 30, 2011
Key facts
- NPI
- 1265716872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1604 N Washington Ave
Durant, OK 74701-2128 - Phone
- (580) 920-0909
- NPI assigned
- Sep 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1604 N Washington Ave
Durant, OK 74701-2128
Mailing address
1604 N Washington Ave
Durant, OK 74701-2128
Phone (580) 920-0909
Other providers in Durant, OK
- Gayle Avery
- Az RX Compounding Pharmacy, LLC.
- Charles W Bachmann III
- Hailey Brette Baird
- Clara Gladean Baker
- Bala Krishna V Arabolu
- Janet Ballard
- Sharon Ballew
- Baracon, LLC
- Adyson Barber
All providers in Durant, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.