Individual
ANGELA VIVIAN BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAADAC
Contact information
Practice address
2060 CAMPUS DRIVE, YREKA, CA 96097
(530) 841-4100
(530) 841-4881
Mailing address
2060 CAMPUS DRIVE, YREKA, CA 96097
(530) 841-4100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/23/2012
Last updated
01/19/2018
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