Individual
KRISTINA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA,MHP
Contact information
Practice address
206 W 5TH ST, METROPOLIS, IL 62960-1810
(618) 524-9368
Mailing address
206 W 5TH ST, METROPOLIS, IL 62960-1810
(618) 524-9368
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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