Baxter, Cory William

Baxter, Cory William is an individual health care provider with primary practice located at 1150 Route 54 West , Clinton IL 61727. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Baxter, Cory William can be contacted via phone (217) 935-9496.

Contact Information

Primary practice address
1150 Route 54 West Clinton IL 61727
Phone: (217) 935-9496
Fax: (217) 935-4508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18005753 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180005753 Illinois

Profile Details

NPI number 1740327881
LBN Legal business name Baxter, Cory William
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Dec 17th, 2015 - about 10 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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