Individual
MS. GWENDOLYN FAYE HANIGAN BAILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0511
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC0511
LICENSE
AZ
01
—
NCC28647
NATIONAL BOARD CERTIFIED
—
Enumeration date
02/06/2007
Last updated
08/21/2007
Update your record
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