Most Relevant Information
Provider Data
| NPI Number: | 1003365172 |
| Provider Name: | VICTORIA BAXTER LCMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/29/2016 |
| Last Updated: | 07/16/2020 |
Provider Practice Location
39 RED LN
RALEIGH
NC
276061672
Practice Location Phone/Fax
| Phone: | 7068361713 |
| Fax: |
Provider Mailing Location
39 RED LN
RALEIGH
NC
276061672
Provider Mailing Phone/Fax
| Phone: | 7068361713 |
| Fax: |