Individual
PETER BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APC
Contact information
Practice address
242 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(404) 242-8880
Mailing address
3864 BRENTVIEW PL NW, KENNESAW, GA 30144-2292
(404) 242-8880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006865
GA
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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