SearchMaryland101YP2500X

Creston Baker, LCPC

NPI 1912138835 · on the registry since 2009

Practice

Address
4540 Mack Ave Ste B
Frederick, MD 21703
Phone
(301) 733-0330
Fax
(301) 733-4038
Organisation at this address
Meritus Medical Center Inc
Brook Lane Behavioral Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 13121 Brooklane Dr, Hagerstown, MD

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
104100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland