Organization
BAILEY ET AL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF BAILEY LPC (OWNER)
(720) 548-7077
Entity
Organization
Contact information
Practice address
3005 ANCHOR WAY APT 1, FORT COLLINS, CO 80525-4716
(720) 548-7077
Mailing address
3005 ANCHOR WAY APT 1, FORT COLLINS, CO 80525-4716
(720) 548-7077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225529985
—
CO
Enumeration date
06/23/2020
Last updated
06/23/2020
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