Individual
CHARLENE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(432) 901-2569
Mailing address
3001 W LOOP 250 N STE C-105390, MIDLAND, TX 79705-3252
(432) 557-1775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
80843
TX
Other
Enumeration date
06/30/2020
Last updated
04/03/2024
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