Provider Demographics
NPI:1760405591
Name:BAKER, PAMELA ANNE (LPC, LMHC, NCC)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:ANNE
Last Name:BAKER
Suffix:
Gender:F
Credentials:LPC, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 SLOAN RD
Mailing Address - Street 2:PO BOX 227
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-7391
Mailing Address - Country:US
Mailing Address - Phone:828-349-6185
Mailing Address - Fax:828-349-6112
Practice Address - Street 1:175 SLOAN RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-7391
Practice Address - Country:US
Practice Address - Phone:828-349-6185
Practice Address - Fax:828-349-6112
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4167101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102137Medicaid