Individual
BETH CLEVENGER BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LCPC
Contact information
Practice address
800 W 5TH AVE STE 205I, NAPERVILLE, IL 60563-8965
(630) 779-0751
Mailing address
800 W 5TH AVE STE 205I, NAPERVILLE, IL 60563-8965
(630) 779-0751
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
103TC0700X
Clinical Psychologist
6301010760
MI
Other
Enumeration date
02/21/2008
Last updated
03/10/2008
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