Individual
KATHRYN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 KENT ST UPPR, IRON MOUNTAIN, MI 49801-1569
(906) 774-2561
Mailing address
97 S 4TH ST, SUITE C., ISHPEMING, MI 49849-2168
(906) 228-9699
(906) 228-0505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
220019
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548796469
—
MI
Enumeration date
05/11/2017
Last updated
04/27/2018
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