Individual
MR. BRANDON KYLE BAILYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2402 N LINCOLN AVE, CHICAGO, IL 60614-2415
(440) 785-7802
(440) 785-7802
Mailing address
2402 N LINCOLN AVE, CHICAGO, IL 60614-2415
(440) 785-7802
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180010969
IL
Other
Enumeration date
05/30/2017
Last updated
03/17/2018
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