Baxter, Kris

Baxter, Kris is an individual health care provider with primary practice located at 4100 Moorpark Ave , San Jose CA 95117-1707. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Baxter, Kris can be contacted via phone (408) 772-7110.

Contact Information

Primary practice address
4100 Moorpark Ave San Jose CA 95117-1707
Phone: (408) 772-7110
Fax: (408) 296-1639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC24804 California

Profile Details

NPI number 1962476952
LBN Legal business name Baxter, Kris
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962476952 NPPES
California Other MFC24804 BBSE LICENSE NUMBER

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