Individual
MRS. MARY LYNN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., NCC, LPCC-S
Contact information
Practice address
1995 E HIGHWAY 80, RUSSELL SPRINGS, KY 42642-7414
(270) 585-9373
Mailing address
1995 E HIGHWAY 80, RUSSELL SPRINGS, KY 42642-7414
(270) 585-9373
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
215064
—
101YM0800X
Mental Health Counselor
1087
KY
101YP2500X
Professional Counselor
Primary
1087
KY
Other
Enumeration date
02/15/2013
Last updated
08/07/2020
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