Individual
BAILEY R MACHUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
10801 MONROE RD, SUITE A, MATTHEWS, NC 28105-8335
(704) 237-4240
Mailing address
10801 MONROE RD, SUITE A, MATTHEWS, NC 28105-8335
(704) 237-4240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A11495
NC
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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