BRAD BAKER

IDAHO FALLS, ID
NPI1245391549
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LCPC-3192)
Enumeration Date2006-12-12
Last Update Date2007-07-09
Business Address
-- BRAD BAKER PHD
2235 E 25TH ST STE 290
IDAHO FALLS, ID 83404-7595
Phone number: 208-552-0490
Mailing Address
-- BRAD BAKER PHD
PO BOX 3480
IDAHO FALLS, ID 83403-3480
Phone number: 208-525-2090
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