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Contact Information

TANDRA T BAKER, LPC-MH, LAC, QMHP
5708 S REMINGTON PL STE 400
SIOUX FALLS, SD57108
 Phone: 605-530-2968
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for TANDRA T BAKER · (Female)

NPI Number 1245311687
Status Active
Credentials LPC-MH, LAC, QMHP
Entity Individual
Enumeration date 10/18/2006
Last updated 07/02/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • SD License # 05051221
  • SD License # LPC-MH2142
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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