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Individual

BENJAMIN BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CMHC, SUDC

Contact information

Practice address
295 S STACI CT, CEDAR CITY, UT 84720-1826
(702) 234-8240
Mailing address
295 S STACI CT, CEDAR CITY, UT 84720-1826
(702) 234-8240

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9839496-6006
UT
101YM0800X
Mental Health Counselor
Primary
9839496-6004
UT

Other

Enumeration date
01/22/2024
Last updated
01/22/2024
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