Individual
MR. CANAAN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LCDC
Contact information
Practice address
3723 GREENVILLE AVE STE 71598, DALLAS, TX 75206-5311
(972) 360-9002
(972) 947-5167
Mailing address
3723 GREENVILLE AVE STE 71598, DALLAS, TX 75206-5311
(972) 360-9002
(972) 947-5167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15754
TX
101YP2500X
Professional Counselor
Primary
94965
TX
Other
Enumeration date
07/03/2022
Last updated
03/05/2026
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