Individual
CHRISTINA BAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC II, QMHA II
Contact information
Practice address
15405 SW 116TH AVE STE 124, KING CITY, OR 97224-4103
(617) 921-6422
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 475-4822
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-10-20488
OR
101YM0800X
Mental Health Counselor
24-QMHA-II-000342
OR
175T00000X
Peer Specialist
23-CRM-II-0136
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210848
—
OR
Enumeration date
02/28/2023
Last updated
04/21/2025
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