H Gary Baker, MA LPC

Individual provider Active NPI Counselor · Okmulgee, OK

NPI 1821159633 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1821159633
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
2075 (OK)
Practice address
106 West 5TH Street
Okmulgee, OK 74447
Phone
(918) 756-8856
NPI assigned
Dec 13, 2006
Sex
Male
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2075OKMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2075 OK Yes

Addresses

Primary practice location

106 West 5TH Street
Okmulgee, OK 74447

Mailing address

106 West 5TH Street
Okmulgee, OK 74447
Phone (918) 756-8856

Other providers in Okmulgee, OK

All providers in Okmulgee, OK · Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.