Individual
SHIMEKA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 SHERMAN ST, GASTONIA, NC 28052-4700
(704) 775-1936
Mailing address
7235 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6724
(213) 584-4445
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15435
CA
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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