Jacob Tyler Baker
NPI #1104471515 in Grand Junction, Colorado
Provider Information
- NPI Number
- 1104471515
- Entity Type
- Individual
- Name
- Jacob Tyler Baker
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 3, 2019
- Last Updated
- Aug 3, 2019
Practice Location
- Address
- 408 STONERIDGE CT
- City
- Grand Junction
- State
- Colorado
- ZIP Code
- 81507-1655
- Phone
- (334) 654-0456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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