Individual
CHRISTINE JOY BAYLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CACIII
Contact information
Practice address
500 9TH AVE, LONGMONT, CO 80501-4598
(720) 938-6071
Mailing address
4827 WHITE ROCK CIR APT F, BOULDER, CO 80301-6717
(720) 562-0528
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4653
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
6662
CO
Other
Enumeration date
01/12/2007
Last updated
10/05/2020
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