Provider Demographics
NPI:1184686917
Name:MUNSON BAKER, CHRISTIE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:
Last Name:MUNSON BAKER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1326
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92235
Mailing Address - Country:US
Mailing Address - Phone:760-318-4421
Mailing Address - Fax:760-318-3201
Practice Address - Street 1:777 E TAHQUITZ CANYON WAY # 200-8
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6784
Practice Address - Country:US
Practice Address - Phone:760-416-5190
Practice Address - Fax:760-318-3201
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 39478101YP2500X
CA39478106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional