Baker, Jacqueline

Baker, Jacqueline is an sole proprietor health care provider with primary practice located at 580 Ellis Rd S , Jacksonville FL 32254-3582. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Baker, Jacqueline can be contacted via phone (904) 423-0017.

Contact Information

Primary practice address
580 Ellis Rd S Jacksonville FL 32254-3582
Phone: (904) 423-0017
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1326415662
LBN Legal business name Baker, Jacqueline
Credentials REGISTERED IMH14441
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2015
Last updated Mar 29th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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