Richard Baker

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Muncie, IN

NPI 1609054022 · NPPES record last updated Feb 7, 2008

Key facts

NPI
1609054022
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
240 N Tillotson Ave
Muncie, IN 47304-3988
Phone
(765) 288-1928
NPI assigned
Feb 7, 2008
Sex
Male
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

Specialties & licenses

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

Addresses

Primary practice location

240 N Tillotson Ave
Muncie, IN 47304-3988

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928

Other providers in Muncie, IN

All providers in Muncie, IN · Addiction (Substance Use Disorder) Counselor in Indiana

Sources for this page

Verify at the official NPI Registry.