Individual
BAILEY NIALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33505 13TH PL S, FEDERAL WAY, WA 98003-6337
(206) 888-0651
Mailing address
33505 13TH PL S, FEDERAL WAY, WA 98003-6337
(206) 888-0651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61443092
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/23/2019
Last updated
12/29/2023
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