Individual provider · Type 1 NPI

Melissa Maria Baxter, CADC II

Addiction (Substance Use Disorder) Counselor · Clearlake, CA

NPI number 1043794449 Active

Practice location

14715 East Highway 20
Clearlake, CA 95423

Mailing address

PO Box 366
Clearlake Oaks, CA 95423-0366

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XR1331731218 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA063290923 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043794449

Melissa Maria Baxter, CADC II's National Provider Identifier is 1043794449, issued on Sep 20, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearlake, CA. The record was last updated on Jan 10, 2024.