Individual
STEPHANIE BAYLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
17452 IRVINE BLVD STE 213, TUSTIN, CA 92780-3031
(619) 786-3776
Mailing address
17452 IRVINE BLVD, TUSTIN, CA 92780-3031
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15679
CA
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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