Provider Demographics
NPI:1336243567
Name:BAKER, DANA L (LPC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:L
Last Name:BAKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3115 SOUTH GRAND SUITE 450
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63118
Mailing Address - Country:US
Mailing Address - Phone:314-577-0444
Mailing Address - Fax:888-977-3461
Practice Address - Street 1:3115 SOUTH GRAND SUITE 450
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63118
Practice Address - Country:US
Practice Address - Phone:314-577-0444
Practice Address - Fax:888-977-3461
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003006522101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional