Provider Demographics
NPI:1477885598
Name:BAKER, CHRISTINA JANE (LPC, NBCC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:JANE
Last Name:BAKER
Suffix:
Gender:F
Credentials:LPC, NBCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 N 3RD AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-1594
Mailing Address - Country:US
Mailing Address - Phone:208-265-1700
Mailing Address - Fax:208-265-1750
Practice Address - Street 1:606 N 3RD AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1594
Practice Address - Country:US
Practice Address - Phone:208-265-1700
Practice Address - Fax:208-265-1750
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-411101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional