Individual
MRS. ANITA HOUNSHELL BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15440 KINGS STREET, BELLE HAVEN, VA 23306
(757) 709-9260
Mailing address
31422 BIG PINE RD, PAINTER, VA 23420-4326
(757) 709-9260
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010098
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701010098
BOARD OF COUNSELING
VA
Enumeration date
11/13/2020
Last updated
11/30/2020
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