Individual
DELACEY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
166 KILLONA DR, KILLONA, LA 70057-3066
(985) 210-5065
Mailing address
166 KILLONA DR, KILLONA, LA 70057-3066
(985) 210-5065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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