Justin Baksh's National Provider Identifier (NPI) Details
Justin Baksh, MS, LMHC, MCAP, QS,
NPI: 1447618590
Enumeration Date: 2016-02-03
Last updated: 2024-11-18
Sole Proprietor: NO
Status: active
Postal Address: 160 NW CENTRAL PARK PLZ STE 105, PORT ST LUCIE, FL
Phone: 772-361-6778
Primary Practice Address: 160 NW CENTRAL PARK PLZ STE 104, PORT ST LUCIE, FL
Practice's phone: 772-301-9500