Individual
NELSON C. BAXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2451 W HOLT AVE, EL CENTRO, CA 92243-3543
(415) 793-6415
Mailing address
2451 W HOLT AVE, EL CENTRO, CA 92243-3543
(415) 793-6415
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0H96944
CA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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