Individual
BAILEY LYNN BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1045 KLOTZ RD, BOWLING GREEN, OH 43402-4820
(419) 352-7588
Mailing address
439 PINE VALLEY DR, BOWLING GREEN, OH 43402-5206
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1801073-TRNE
OH
101YP2500X
Professional Counselor
Primary
C.1901836
OH
Other
Enumeration date
08/30/2018
Last updated
07/09/2019
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