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Individual
BRENT L BAILEY JR.
Active
Individual
BRENT L BAILEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11492
CA
101YM0800X
Mental Health Counselor
Primary
15436
CA
101YM0800X
Mental Health Counselor
Primary
22681
CA
Other
Enumeration date
02/01/2021
Last updated
05/24/2026
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