Individual provider · Type 1 NPI
Moran Baxter, LPC-I
Mental Health Counselor · Dallas, TX
NPI number
1922657188
Active
Practice location
4100 Spring Valley Rd Ste 515
Dallas, TX 75244-3803
Fax (847) 859-5885
Mailing address
175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 82417 |
Mental Health Counselor: Definition to come...
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About NPI 1922657188
Moran Baxter, LPC-I's National Provider Identifier is 1922657188, issued on Sep 10, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dallas, TX. The record was last updated on Sep 10, 2019.