Provider Demographics
NPI:1821303512
Name:NEUER BAKER, JENNI MARIE (LCP)
Entity Type:Individual
Prefix:MS
First Name:JENNI
Middle Name:MARIE
Last Name:NEUER BAKER
Suffix:
Gender:F
Credentials:LCP
Other - Prefix:MS
Other - First Name:JENNI
Other - Middle Name:MARIE
Other - Last Name:NEUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCP
Mailing Address - Street 1:2850 SW MISSION WOODS DR
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-5616
Mailing Address - Country:US
Mailing Address - Phone:785-408-5251
Mailing Address - Fax:
Practice Address - Street 1:2850 SW MISSION WOODS DR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5616
Practice Address - Country:US
Practice Address - Phone:785-408-5251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS#922101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional