Individual
MR. BRYAN KEITH BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
Mailing address
1690 N LIMESTONE ST, SPRINGFIELD, OH 45503-2652
(937) 717-5591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.0600602
OH
101YP2500X
Professional Counselor
C.0600602
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10065
—
OH
Enumeration date
06/25/2009
Last updated
11/30/2018
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