Michael W Baker

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Oklahoma City, OK

NPI 1457793192 · NPPES record last updated Jul 23, 2013

Key facts

NPI
1457793192
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
2808 NW 31St St
Oklahoma City, OK 73112-7407
Phone
(405) 848-7555
NPI assigned
Jul 23, 2013
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

2808 NW 31St St
Oklahoma City, OK 73112-7407

Mailing address

620 W Forster Dr
Mustang, OK 73064-3512
Phone (405) 417-5292

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · Addiction (Substance Use Disorder) Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.