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Contact Information

CHARLENE M BAKER, LADC
38 BRIDGE ST
EAST WINDSOR, CT06088-9679
 Phone: 860-543-9380
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for CHARLENE M BAKER · (Female)

NPI Number 1356861777
Status Active
Credentials LADC
Entity Individual
Enumeration date 06/27/2017
Last updated 09/26/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 000869
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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