Organization
ADVANCED TRAINING THIRD COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA BAKER LCDC (OWNER)
(713) 492-4131
Entity
Organization
Contact information
Practice address
50 EAGLE CT, THE WOODLANDS, TX 77380-3926
(713) 492-4131
Mailing address
50 EAGLE CT, THE WOODLANDS, TX 77380-3926
(713) 492-4131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6966
TX
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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