Individual
SHARESE ANN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
300 S CRAYCROFT RD, TUCSON, AZ 85711
(520) 979-3482
Mailing address
300 S CRAYCROFT RD, TUCSON, AZ 85711-4574
(520) 979-3482
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-18036
AZ
103TC1900X
Counseling Psychologist
LAC-18036
AZ
Other
Enumeration date
09/03/2019
Last updated
09/17/2019
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