Baxley, Jacqueline

Baxley, Jacqueline is an individual health care provider with primary practice located at 1139 E Jersey St Ste 417 , Elizabeth NJ 07201-2446. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Baxley, Jacqueline can be contacted via phone (908) 662-3200.

Contact Information

Primary practice address
1139 E Jersey St Ste 417 Elizabeth NJ 07201-2446
Phone: (908) 662-3200
Fax: (908) 662-3202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC0040200 New Jersey

Profile Details

NPI number 1558485045
LBN Legal business name Baxley, Jacqueline
Credentials MS, LPC, ACS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Nov 11th, 2024 - about 2 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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