Individual
BRIAN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LCPC
Contact information
Practice address
15201 JENKINS RIDGE RD, BOWIE, MD 20721-7256
(240) 334-2655
Mailing address
15201 JENKINS RIDGE RD, BOWIE, MD 20721-7256
(240) 334-2655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7729
MD
101YP2500X
Professional Counselor
PRC14446
DC
Other
Enumeration date
08/07/2019
Last updated
07/13/2020
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