Individual
JANELLE MARIA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5310 MERCHANDISE DR, FORT WAYNE, IN 46825-5140
(260) 602-8331
Mailing address
2621 WILDCAT CV, FORT WAYNE, IN 46814-9022
(260) 515-9481
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003383A
IN
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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