Individual
MS. CARMELLA MONIQUE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
18912 PATRICIAN DR, VILLA PARK, CA 92861-4214
(714) 949-9426
Mailing address
1300 ADAMS AVE APT 7P, COSTA MESA, CA 92626-8323
(714) 248-2378
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A021840216
CA
Other
Enumeration date
11/11/2014
Last updated
03/17/2018
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