Martha Leslie Baker, MA, LPC
Individual provider Active NPI Professional Counselor · Dawsonville, GA
NPI 1275836769 · NPPES record last updated Dec 6, 2010
Key facts
- NPI
- 1275836769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC006234 (GA)
- Practice address
- 121 Old Dawson Village Rd E
Building 800, Unit 010
Dawsonville, GA 30534 - Phone
- (706) 265-2244
- NPI assigned
- Dec 6, 2010
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC006234 | GA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC006234 | GA | Yes |
Addresses
Primary practice location
121 Old Dawson Village Rd E
Building 800, Unit 010
Dawsonville, GA 30534
Mailing address
423 Mountain Crest Dr
Clarkesville, GA 30523-2931
Phone (706) 969-8542
Other providers in Dawsonville, GA
- Elizabeth A. Atkinson
- Atl Optical LLC
- Aylo Health, LLC
- Carmina F Babao
- Charlotte Holt Baird
- Jeremiah Bancroft
- Taylor Lynn Banks
- Parastoo Baradaran-Mashinchi
- Lisa Barnhardt
- Brittany Kara Barrett
All providers in Dawsonville, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2010. 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.