Individual
MS. KIMBERLY JAYE DAFFRON-BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,LPC-S,LMFT,LCDC
Contact information
Practice address
29710 US HIGHWAY 281 N, BULVERDE, TX 78163-3107
(210) 896-6215
Mailing address
25806 SANTOLINA, SAN ANTONIO, TX 78261-2672
(210) 896-6215
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12532
TX
101YP2500X
Professional Counselor
72729
TX
104100000X
Social Worker
Primary
62456
TX
106H00000X
Marriage & Family Therapist
202430
TX
Other
Enumeration date
10/13/2006
Last updated
04/10/2020
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