| James Edward Baker, MA | |
|
1007 North Main Street, Dayville, CT 06241 | |
| (860) 774-2020 | |
| Not Available |
| Full Name | James Edward Baker |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1007 North Main Street, Dayville, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063446623 | NPI | - | NPPES |
| 000013 | Other | CT | LADC |
| 000079 | Other | CT | LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000013 (Connecticut) | Primary |
| 101YM0800X | Counselor - Mental Health | 000079 (Connecticut) | Secondary |
| Entity Name | The William W Backus Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
| Mailing Address | Practice Location Address |
|---|---|
| James Edward Baker, MA 18 Fairview St, Portland, CT 06480-1553 Ph: () - | James Edward Baker, MA 1007 North Main Street, Dayville, CT 06241 Ph: (860) 774-2020 |
Kara K Marnell, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-228-4480 | |
Mr. Gary Lee Dippel, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Main St., Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-774-0826 | |
Mrs. Ana Maria Falcon-garcia, M. DIV.,CCDP-D, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-456-2261 Fax: 860-450-1357 | |
Edward Koistinen, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-779-5437 | |
Melissa Anne Demma, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 | |
Mr. Dennis Walter Strandson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 |