Carolyn Baker

Individual provider Active NPI Professional Counselor · Magnolia, AR

NPI 1689087488 · NPPES record last updated Jun 9, 2014

Key facts

NPI
1689087488
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
301 Boundary St
Magnolia, AR 71753-3305
Phone
(870) 234-2600
Fax
(870) 234-2606
NPI assigned
Jun 9, 2014
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

301 Boundary St
Magnolia, AR 71753-3305

Mailing address

301 Boundary St
Magnolia, AR 71753-3305
Phone (870) 234-2600

Other providers in Magnolia, AR

All providers in Magnolia, AR · Professional Counselor in Arkansas

Sources for this page

Verify at the official NPI Registry.