Individual
DUSTIN N BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
745 CRAIG RD STE 102C, CREVE COEUR, MO 63141-7122
(314) 662-4403
Mailing address
745 CRAIG RD STE 102C, CREVE COEUR, MO 63141-7122
(314) 662-4403
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2003032164
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497543801
—
MO
Enumeration date
11/03/2006
Last updated
03/17/2018
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