Individual
CAMERON S. BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
211 S WOODRUFF AVE STE B7, IDAHO FALLS, ID 83401-4866
(208) 604-6489
Mailing address
211 S WOODRUFF AVE STE B7, IDAHO FALLS, ID 83401-4866
(208) 479-5402
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-7529
ID
Other
Enumeration date
10/19/2016
Last updated
06/08/2023
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