Individual
BETTY L BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
390 CURVY RD, CAMDENTON, MO 65020-2112
(573) 434-6806
(573) 873-3569
Mailing address
584 HA HA TONKA RD, CAMDENTON, MO 65020-2112
(573) 434-6806
(573) 873-3569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2014020787
MO
Other
Enumeration date
07/07/2014
Last updated
11/20/2015
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