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Organization

EVERY CHILD MATTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JACQIELINE D BAXLEY MS, LPC, ACS (EXECUTIVE DIRECTOR)
(908) 463-5514
Entity
Organization

Contact information

Practice address
1139 E JERSEY ST STE 417, ELIZABETH, NJ 07201-2446
(908) 622-3200
(908) 622-3202
Mailing address
1139 E JERSEY ST STE 417, ELIZABETH, NJ 07201-2446
(908) 662-3200
(908) 622-3202

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/22/2019
Last updated
01/14/2021
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