Individual
ALICEA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180009998
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
30051
IL
101YM0800X
Mental Health Counselor
180009998
IL
101YP2500X
Professional Counselor
178006792
IL
101YP2500X
Professional Counselor
Primary
180009998
IL
Other
Enumeration date
04/19/2011
Last updated
11/09/2016
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