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Individual
JOHN R BAKER
Active
Individual
JOHN R BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17302
TX
101YP2500X
Professional Counselor
Primary
17302
TX
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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