Diana J Baker, MSW LMHC

Individual provider Active NPI Counselor · Poulsbo, WA

NPI 1346300092 · NPPES record last updated Jul 1, 2008

Key facts

NPI
1346300092
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
20696 Bond Rd NE Ste C-210
Poulsbo, WA 98370-9015
Phone
(360) 779-4807
Fax
(360) 779-5613
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Burke, M.D., PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

20696 Bond Rd NE Ste C-210
Poulsbo, WA 98370-9015

Mailing address

20696 Bond Rd NE Ste C-210
Poulsbo, WA 98370-9015
Phone (360) 779-4807

Other providers in Poulsbo, WA

All providers in Poulsbo, WA · Counselor in Washington

Sources for this page

Verify at the official NPI Registry.