Individual
JULIANDRA BAILON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LASAC
Contact information
Practice address
483 W SEED FARM RD, SACATON, AZ 85147-5000
(520) 610-3927
Mailing address
483 W SEED FARM RD, SACATON, AZ 85147-5000
(520) 610-3927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-15080
AZ
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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