Individual
JAN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
601 CIEN RD STE 130D, KEMAH, TX 77565-3065
(281) 733-0369
(281) 240-6481
Mailing address
601 CIEN RD STE 130D, KEMAH, TX 77565-3065
(281) 733-0369
(281) 240-6481
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7169LC
BC/BS
TX
Enumeration date
08/04/2006
Last updated
04/04/2023
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