Rose, Andrew Justin Baker

Rose, Andrew Justin Baker is an sole proprietor health care provider with primary practice located at 125 S Main Cross St , Louisa KY 41230-1065. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Rose, Andrew Justin Baker can be contacted via phone (606) 638-0938.

Contact Information

Primary practice address
125 S Main Cross St Louisa KY 41230-1065
Phone: (606) 638-0938
Fax: (859) 813-5394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 175461 Kentucky
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 86000431A Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710103608 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0732008841 Virginia
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X Kentucky

Profile Details

NPI number 1770098139
LBN Legal business name Rose, Andrew Justin Baker
Credentials CSAC, QMHP-A, LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2017
Last updated Feb 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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