Individual
MS. SANDRA ELLEN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
6950 COLUMBIA GATEWAY DR, COLUMBIA, MD 21046-2706
(410) 953-1865
Mailing address
6950 COLUMBIA GATEWAY DR, COLUMBIA, MD 21046-2706
(410) 953-1865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2060
WV
101YM0800X
Mental Health Counselor
Primary
LC5674
MD
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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