Individual
GRACE KAYLA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
8305 SIX FORKS RD STE 207, RALEIGH, NC 27615-3007
(919) 617-7734
Mailing address
1511 CORPORATE CENTER DR APT 314, RALEIGH, NC 27607-3645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A19506
NC
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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