Individual
MR. BRIAN PATRICK BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., L.P.C. L.C.S.W
Contact information
Practice address
228 ADAMS AVE, HUNTINGTON, WV 25701-1135
(304) 529-7686
(304) 529-7686
Mailing address
PO BOX 8475, HUNTINGTON, WV 25705-0475
(304) 529-7686
(304) 529-7686
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
470
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163319000
—
WV
Enumeration date
09/14/2006
Last updated
07/09/2007
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