Individual
JACOB W BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CAS
Contact information
Practice address
42934 PEARSON RANCH LOOP, PARKER, CO 80138-4458
(801) 512-5372
Mailing address
42934 PEARSON RANCH LOOP, PARKER, CO 80138-4458
(801) 512-5372
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0020862
CO
Other
Enumeration date
06/28/2018
Last updated
12/23/2024
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