Individual
MS. SUSAN J BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC I
Contact information
Practice address
GROVE STREET, 15 GROVE STREET, NORTH CONWAY, NH 03860
(603) 869-2210
Mailing address
PO BOX 717, BETHLEHEM, NH 03574-0717
(603) 869-2210
(603) 869-2355
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0570
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
809
MA
Other
Enumeration date
09/26/2008
Last updated
03/17/2018
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