James Edward Baker, MA | |
1007 North Main Street, Dayville, CT 06241 | |
(860) 774-2020 | |
Not Available |
Full Name | James Edward Baker |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1007 North Main Street, Dayville, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063446623 | NPI | - | NPPES |
000013 | Other | CT | LADC |
000079 | Other | CT | LPC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 000013 (Connecticut) | Primary |
101YM0800X | Counselor - Mental Health | 000079 (Connecticut) | Primary |
Entity Name | The William W Backus Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
Mailing Address | Practice Location Address |
---|---|
James Edward Baker, MA 18 Fairview St, Portland, CT 06480-1553 Ph: () - | James Edward Baker, MA 1007 North Main Street, Dayville, CT 06241 Ph: (860) 774-2020 |
Kara K Marnell, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-228-4480 | |
Mr. Gary Lee Dippel, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Main St., Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-774-0826 | |
Mrs. Ana Maria Falcon-garcia, M. DIV.,CCDP-D, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-456-2261 Fax: 860-450-1357 | |
Edward Koistinen, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-779-5437 | |
Melissa Anne Demma, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 | |
Mr. Dennis Walter Strandson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 |