Individual
AL-NISA MONIQUE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1704 JASMINE TRL, SAVANNAH, TX 76227-7719
(940) 220-1088
Mailing address
1704 JASMINE TRL, SAVANNAH, TX 76227-7719
(940) 220-1088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
79600
TX
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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