Individual
ANGELIQUE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8037 FAIR OAKS BLVD, CARMICHAEL, CA 95608-6742
(404) 988-0512
Mailing address
PO BOX 580786, ELK GROVE, CA 95758-0014
(404) 988-0512
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
140767
CA
Other
Enumeration date
09/15/2023
Last updated
09/18/2023
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