Individual
MS. JACQUELINE BAXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, ACS
Contact information
Practice address
1139 E JERSEY ST STE 417, ELIZABETH, NJ 07201-2446
(908) 662-3200
(908) 662-3202
Mailing address
911 WORTH AVE, ELIZABETH, NJ 07201-2446
(084) 635-5149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
37PC0040200
NJ
Other
Enumeration date
03/19/2007
Last updated
11/11/2024
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