NPI 1013571504

Tiffany Alycia Baker

Practitioner Mental Health Counselor Gautier, MS

Practice location

Address: 3407 Shamrock CT, Gautier, MS 39553-5337
Phone: (228) 497-0690

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Registry record

NPI: 1013571504
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2019
Record last updated: 30 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.