Individual
AMANDA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCDC
Contact information
Practice address
4950 KELLER SPRINGS RD STE 310, ADDISON, TX 75001-6349
(972) 835-1963
Mailing address
4950 KELLER SPRINGS RD STE 310, ADDISON, TX 75001-6349
(972) 835-1963
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11798
TX
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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