Provider Demographics
NPI:1184430183
Name:BAKER, EMILY S (MS, LCMHC)
Entity type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:S
Last Name:BAKER
Suffix:
Gender:F
Credentials:MS, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 PARK LN
Mailing Address - Street 2:
Mailing Address - City:CONTOOCOOK
Mailing Address - State:NH
Mailing Address - Zip Code:03229-3101
Mailing Address - Country:US
Mailing Address - Phone:603-746-7702
Mailing Address - Fax:603-746-7551
Practice Address - Street 1:40 PARK LN
Practice Address - Street 2:
Practice Address - City:CONTOOCOOK
Practice Address - State:NH
Practice Address - Zip Code:03229-3101
Practice Address - Country:US
Practice Address - Phone:603-746-7702
Practice Address - Fax:603-746-7551
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4843101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health