Individual
BAILEY CHRISTINE IVICEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 BUENA CREEK RD, SAN MARCOS, CA 92069-9679
(760) 566-3566
Mailing address
1858 THIBODO RD APT 203, VISTA, CA 92081-7577
(760) 535-2343
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18205
CA
101YP2500X
Professional Counselor
18205
CA
104100000X
Social Worker
18205
CA
1041C0700X
Clinical Social Worker
18205
CA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/19/2023
Last updated
06/19/2025
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