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Individual

MR. JOSEPH BAIAMONTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCDC

Contact information

Practice address
5552 S HAMPTON RD, DALLAS, TX 75232-2202
(214) 339-3181
Mailing address
5552 S HAMPTON RD, DALLAS, TX 75232-2202
(817) 690-5377

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9880
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18005439981
TX
Enumeration date
07/01/2021
Last updated
07/01/2021
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