Individual
STEPHANIE BAXTER QUIJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1196 3RD AVE, CHULA VISTA, CA 91911-3131
(619) 427-4661
Mailing address
1465 30TH ST, SAN DIEGO, CA 92154-3497
(619) 428-1000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCC21256
CA
101YP2500X
Professional Counselor
Primary
LPCC21256
CA
Other
Enumeration date
07/07/2023
Last updated
12/05/2025
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