Individual
BAILEY LYNN CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
20331 FLANAGAN RD., TRABUCO CANYON, CA 92679-9267
(818) 582-8832
Mailing address
629 S CASITA ST, ANAHEIM, CA 92805-4747
(619) 417-0822
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1417330121
CA
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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