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Christopher L Baker

Peer Specialist in Logan, WV. Individual provider (NPI-1).

NPI number1336876002
StatusActive
Last updated in NPPESAug 3, 2022

Details

NPI
1336876002
Entity type
Individual (NPI-1)
Name
Christopher L Baker
Sex
Male
Sole proprietor
No
Enumeration date
Aug 3, 2022
Certification date
Jul 26, 2022
Last updated
Aug 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist20-933WVYes

Practice location

1112 Enterprise Drive
Logan, WV 25601

Phone 304-896-6871

Mailing address

1112 Enterprise Drive
Logan, WV 25601

Phone 304-896-6871

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