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Individual

MR. CHRISTOPHER SHANE BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
320 E LEE AVE, YADKINVILLE, NC 27055-8132
(336) 679-8805
(336) 679-3075
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5493
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6103869
NC
Enumeration date
05/18/2007
Last updated
11/04/2024
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