Organization
KINGDOM WELLNESS COUNSELING AND MENTORING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAQUETTA S BAKER ME.D (OWNER)
(765) 749-4913
Entity
Organization
Contact information
Practice address
3400 W RIGGIN RD, UNIT #5, MUNCIE, IN 47304-6140
(765) 749-4913
Mailing address
3400 W RIGGIN RD, UNIT #5, MUNCIE, IN 47304-6140
(765) 749-4913
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/20/2015
Last updated
09/20/2015
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