Individual
MR. JIMMIE WAYNE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC I
Contact information
Practice address
4131 SPICEWOOD SPRINGS RD, BUILDING K, SUITE 1, AUSTIN, TX 78759-8661
(512) 346-9299
Mailing address
2736 ZAMBIA DR, CEDAR PARK, TX 78613-1555
(512) 335-3487
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
61906
TX
Other
Enumeration date
06/10/2007
Last updated
07/08/2007
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