Individual
LISA DUVALL-BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2555 MAIN ST, KLAMATH FALLS, OR 97601-2723
(541) 883-2795
(541) 883-8194
Mailing address
2555 MAIN ST, KLAMATH FALLS, OR 97601-2723
(541) 883-2795
(541) 883-8194
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06-11-16
OR
Other
Enumeration date
07/02/2010
Last updated
07/02/2010
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