# ADVANCED TRAINING THIRD COAST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457717142
- **Authorized official:** MARCIA BAKER LCDC (OWNER)
- **Authorized official phone:** (713) 492-4131

## Contact information

- **Practice address:** 50 EAGLE CT, THE WOODLANDS, TX 77380-3926
- **Practice address phone:** (713) 492-4131
- **Mailing address:** 50 EAGLE CT, THE WOODLANDS, TX 77380-3926
- **Mailing address phone:** (713) 492-4131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 6966 | TX | Yes |

## Other

- **Enumeration date:** 01/11/2016
- **Last updated:** 01/11/2016