CODY EVAN BAKER

LEBANON, KY
NPI1821717505
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  278074)
Enumeration Date2022-08-25
Last Update Date2022-08-25
Business Address
Mr. CODY EVAN BAKER TCADC
807 PEBBLEBROOK DR
LEBANON, KY 40033-1848
Phone number: 502-260-2806
Mailing Address
Mr. CODY EVAN BAKER TCADC
807 PEBBLEBROOK DR
LEBANON, KY 40033-1848
Phone number: 502-260-2806
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