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Contact Information

ANGELA BAKER, LCPC/ ACADC
3700 W SELTICE WAY
COEUR D'ALENE, ID83814-8921
 Phone: 208-620-5250
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for ANGELA BAKER · (Female)

NPI # 1598114035
Status Active
Credentials LCPC/ ACADC
Entity Individual
Enumeration date 06/06/2016
Last updated 03/05/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • ID License # LCPC-9921
  • ID Medicaid OPTUM1235503426
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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