Individual
DR. JAMES D BAXENDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., CTS
Contact information
Practice address
64 SWEET SAMANTHA CT, FUQUAY VARINA, NC 27526-5054
(704) 290-7527
Mailing address
64 SWEET SAMANTHA CT, FUQUAY VARINA, NC 27526-5054
(704) 290-7527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
002890-1
NY
101YM0800X
Mental Health Counselor
068.0099603
VT
101YP2500X
Professional Counselor
Primary
10653
NC
Other
Enumeration date
08/17/2006
Last updated
10/07/2014
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