Individual
ANDREA MARIE BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 THACKER AVE, JACKSONVILLE, FL 32207-8664
(904) 742-6741
Mailing address
1625 THACKER AVE, JACKSONVILLE, FL 32207-8664
(904) 742-6741
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH23282
FL
101YM0800X
Mental Health Counselor
Primary
MH23282
FL
Other
Enumeration date
09/03/2020
Last updated
06/26/2025
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