Individual
JASON DEE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
717B HIGHWAY 70 E, KINGSTON, OK 73439-8253
(580) 565-2415
Mailing address
717B HIGHWAY 70 E, KINGSTON, OK 73439-8253
(580) 565-2415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/11/2013
Last updated
03/06/2015
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