Individual
MALLORY BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
137 LAXTON RD STE 3B, LYNCHBURG, VA 24502-3144
(434) 278-0215
Mailing address
1440 TY BLUFF RD, FOREST, VA 24551-3447
(704) 736-5161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008393
VA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/23/2014
Last updated
06/04/2024
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