Individual
SHANTASIA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2581 ATLANTIC AVE, BROOKLYN, NY 11207-2412
(718) 495-6700
Mailing address
2581 ATLANTIC AVE FL 1, BROOKLYN, NY 11207-2412
(718) 495-6700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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