KRISTOPHER W. R BAKER

TYLER, TX
NPI1831811397
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  12645)
Enumeration Date2022-09-13
Last Update Date2022-09-13
Business Address
KRISTOPHER W. R BAKER LCDC
1510 S VINE AVE
TYLER, TX 75701-2826
Phone number: 903-526-4055
Mailing Address
KRISTOPHER W. R BAKER LCDC
220 PRIVATE ROAD 8179
EDOM, TX 75754-5268
Phone number: 903-519-6858
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