Individual
KEMAR BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
141 E MAIN ST, WATERBURY, CT 06702-2310
(203) 575-0466
(203) 575-1817
Mailing address
141 E MAIN ST, WATERBURY, CT 06702-2310
(203) 575-0466
(203) 575-1817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
CT
Enumeration date
03/30/2012
Last updated
03/30/2012
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