Individual
CHEYENNE BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5620 112TH ST E, SOUTH HILL, WA 98373-3206
(253) 446-7176
Mailing address
407 VALLEY AVE NE APT S201, PUYALLUP, WA 98372-6929
(509) 205-7322
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MHCA.MC.70060474
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
05/01/2025
Last updated
02/16/2026
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