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Contact Information

MELISSA M BAXTER, CADC II
14715 EAST HIGHWAY 20
CLEARLAKE, CA95423
 Phone: 707-998-1800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MELISSA M BAXTER · (Female)

NPI # 1043794449
Status Active
Credentials CADC II
Entity Individual
Enumeration date 09/20/2018
Last updated 01/10/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A063290923
  • CA License # R1331731218
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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