person
Kristopher W. R Baker, LCDC
Addiction (Substance Use Disorder) Counselor in Tyler, Texas
NPI 1831811397

Kristopher W. R Baker is an Addiction (Substance Use Disorder) Counselor based in Edom, TX and is specialized in Addiction (Substance Use Disorder). Kristopher W. R Baker practices in Tyler, TX and has the professional credentials of LCDC. The NPI Number for Kristopher W. R Baker is 1831811397 and holds a License No. 12645 (Texas).

The current practice location address for Kristopher W. R Baker is 1510 S Vine Ave, Tyler, TX and can be reached out via phone at 903-526-4055.

Location: 1510 S Vine Ave, Tyler, TX, 75754-5268
person
Provider Profile Details
NPI Number
1831811397
Provider Name
Kristopher W. R Baker
Credential
LCDC
Provider Entity Type
Individual
Gender
Male
Address
1510 S Vine Ave, Tyler, TX, 75754-5268
Phone Number
903-526-4055
Fax Number
Provider Enumeration Date
09/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1510 S Vine Ave
City
State
Zip
75701-2826
Phone Number
903-526-4055
Fax Number
person
Provider Business Mailing Address Details
Address
1510 S Vine Ave
City
State
Zip
75701-2826
Phone Number
903-526-4055
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
12645 (Texas)
Definition
Definition to come...
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