Individual
CODY BAYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LPC
Contact information
Practice address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6121
(928) 527-1899
Mailing address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6121
(928) 527-1899
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-15971
AZ
Other
Enumeration date
03/14/2016
Last updated
03/22/2016
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