Individual
MR. CORY WILLIAM BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 362-6262
Mailing address
PO BOX 616, CLINTON, IL 61727-0616
(217) 935-9496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18005753
IL
101YM0800X
Mental Health Counselor
Primary
180005753
IL
Other
Enumeration date
01/30/2007
Last updated
09/30/2025
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