Provider Demographics
NPI:1275907461
Name:BAKER, NANCY (MA, NBCC)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:MA, NBCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 DOUGLAS STREET
Mailing Address - Street 2:SUITE 525
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51101-1406
Mailing Address - Country:US
Mailing Address - Phone:712-222-1432
Mailing Address - Fax:712-222-1433
Practice Address - Street 1:705 DOUGLAS STREET
Practice Address - Street 2:SUITE 525
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101-1046
Practice Address - Country:US
Practice Address - Phone:712-222-1432
Practice Address - Fax:712-222-1433
Is Sole Proprietor?:No
Enumeration Date:2015-11-25
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool