Individual
MR. BERKELEY VAN BAILEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 N OHIO ST STE 201, CELINA, TX 75009-6230
(469) 626-8787
Mailing address
3613 STONINGTON DR, PLANO, TX 75093-7742
(214) 412-4399
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
81823
TX
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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