Individual
TIMOTHY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1510 W FRANKLIN ST, SUITE A, EVANSVILLE, IN 47710-1032
(812) 424-0223
(812) 424-0226
Mailing address
1500 S GRAND AVE, EVANSVILLE, IN 47713-2651
(812) 421-0462
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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