Individual
ACIENA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9313 CHILLY POND AVE, LAS VEGAS, NV 89129-6907
(702) 937-9106
Mailing address
9313 CHILLY POND AVE, LAS VEGAS, NV 89129-6907
(702) 937-9106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1402785081
NEVADA DRIVER'S LICENSE
NV
Enumeration date
08/26/2015
Last updated
08/26/2015
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