NPI 1124166749 · live from the CMS NPI Registry
Julie Cleverdon Baker, LCPC
Counselor, Professional in Kalispell, MT. National Provider Identifier 1124166749, active.
NPI record
| NPI | 1124166749 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 17 2nd St E, Suite 206, Kalispell, MT 59901 |
| Practice phone | 406-314-0475 |
| Mailing address | Po Box 10406, Kalispell, MT 59904 |
| Enumerated | February 3, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | 1061 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.