Individual
KIM CHARLES BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
423 CORTEZ ST, LA PLACE, LA 70068-2961
(504) 559-4000
(985) 308-1612
Mailing address
423 CORTEZ ST, LA PLACE, LA 70068-2961
(504) 559-4000
(985) 308-1612
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
KM860000
LA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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