Individual provider · NPI-1

Gay Baker

Counselor, Addiction (Substance Use Disorder) · Cedar Hill, TX

NPI number1063986412
StatusActive
Last updated in NPPESJan 18, 2019

Details

NPI
1063986412
Entity type
Individual (NPI-1)
Name
Mrs. Gay Baker
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2019
Last updated
Jan 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

148 S Highway 67
Cedar Hill, TX 75104-2701

Phone 817-455-1073

Mailing address

148 S Highway 67
Cedar Hill, TX 75104-2701

Phone 817-455-1073

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