Crystal Raye Baker, LPC
Individual provider Active NPI Professional Counselor · Fayetteville, AR
NPI 1487843967 · NPPES record last updated Aug 1, 2016
Key facts
- NPI
- 1487843967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- P012077 (AR)
- Practice address
- 60 W Sunbridge Dr
Fayetteville, AR 72703-1822 - Phone
- (479) 695-1240
- Fax
- (479) 750-4843
- NPI assigned
- Oct 19, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P012077 | AR | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P012077 | AR | Yes |
Addresses
Primary practice location
60 W Sunbridge Dr
Fayetteville, AR 72703-1822
Mailing address
2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 750-2020
Other names
- Crystal Kallenbach and Sexton
Other providers in Fayetteville, AR
- Adrianna Baker
- Alana Makenzie Baker
- Bonnie Jean Lynch Baker
- Brenda Lou Baker
- Cheyenne Baker
- Don Baker
- Ellie Anne Baker
- Ethan Baker
- Jennie Elizabeth Baker
- Jessica Baker
All providers in Fayetteville, AR · Professional Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.