Individual provider · Type 1 NPI

Brent Tyler Baker, BA

Addiction (Substance Use Disorder) Counselor · Corbin, KY

NPI number 1356759187 Active

Practice location

1203 American Greeting Card Rd
Corbin, KY 40701-4811

Mailing address

PO Box 568
Corbin, KY 40702-0568

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1356759187

Brent Tyler Baker, BA's National Provider Identifier is 1356759187, issued on Jul 24, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Corbin, KY. The record was last updated on Aug 13, 2014.