Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristopher W. R Baker, LCDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1831811397

Kristopher W. R Baker, LCDC is an Addiction (Substance Use Disorder) Counselor in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2022
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Practice location Address checks out

1510 S Vine Ave
Tyler, TX 75701-2826
Phone: (903) 526-4055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 12645 (TX)

Record details

NPI number1831811397
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDC
Sole proprietorYes
NPI enumeratedSeptember 13, 2022
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022
Mailing address220 Private Road 8179, Edom, TX 75754-5268

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