Diane Baker, L.L.P.C.
Individual provider Active NPI Mental Health Counselor · Clarkston, MI
NPI 1821387432 · NPPES record last updated Apr 4, 2011
Key facts
- NPI
- 1821387432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6401007497 (MI)
- Practice address
- 5395 Taylor LN
Clarkston, MI 48346-1746 - Phone
- (248) 625-4793
- NPI assigned
- Apr 4, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401007497 | MI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401007497 | MI | Yes |
Addresses
Primary practice location
5395 Taylor LN
Clarkston, MI 48346-1746
Mailing address
5395 Taylor LN
Clarkston, MI 48346-1746
Phone (248) 625-4793
Other providers in Clarkston, MI
- Madeline Badgley
- Randall William Baetz
- Alexander Bageris
- Niiya Bailey
- Dina Fakhouri Bain
- Mallory Rose Baker
- Max Joseph Baker
- Michael J Baker
- Robert Ball III
- Ray A Ballard
All providers in Clarkston, MI · Mental Health Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 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.