Provider Demographics
NPI:1922689850
Name:BAKER, YOLANDA LOUISE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:LOUISE
Last Name:BAKER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:LOUISE
Other - Last Name:BUFFINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35721 BIBBINS ST
Mailing Address - Street 2:
Mailing Address - City:ROMULUS
Mailing Address - State:MI
Mailing Address - Zip Code:48174-1426
Mailing Address - Country:US
Mailing Address - Phone:513-305-9159
Mailing Address - Fax:
Practice Address - Street 1:707 W MILWAUKEE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2943
Practice Address - Country:US
Practice Address - Phone:313-505-7136
Practice Address - Fax:313-833-3670
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013070101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health