Individual provider · Type 1 NPI

Kristopher W. R. Baker, LCDC

Addiction (Substance Use Disorder) Counselor · Tyler, TX

NPI number 1831811397 Active

Practice location

1510 S Vine Ave
Tyler, TX 75701-2826

Mailing address

220 Private Road 8179
Edom, TX 75754-5268

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12645 (TX)

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

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About NPI 1831811397

Kristopher W. R. Baker, LCDC's National Provider Identifier is 1831811397, issued on Sep 13, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tyler, TX. The record was last updated on Sep 13, 2022.