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Individual

MS. NANCY R BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAADC, CCDP/D

Contact information

Practice address
508 SHERWOOD ST, SHILLINGTON, PA 19607-1360
(928) 231-7690
Mailing address
508 SHERWOOD ST, SHILLINGTON, PA 19607-1360
(928) 231-7690

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6501
PA
101YM0800X
Mental Health Counselor
6501
PA

Other

Enumeration date
12/31/2015
Last updated
01/03/2024
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