Most Relevant Information
Provider Data
| NPI Number: | 1003332156 |
| Provider Name: | AMANDA RENEE BAKER CDCA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 167101 |
Most Important Dates
| Enumeration Date: | 08/21/2017 |
| Last Updated: | 06/27/2018 |
Provider Practice Location
1725 E 3RD ST
DAYTON
OH
45403
Practice Location Phone/Fax
| Phone: | 9373876395 |
| Fax: |
Provider Mailing Location
1725 E 3RD ST
DAYTON
OH
454031850
Provider Mailing Phone/Fax
| Phone: | 9373876395 |
| Fax: | 9373876557 |