Individual
BRENT L BAILEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APCC
Contact information
Practice address
4437 50TH ST APT 7, SAN DIEGO, CA 92115-3378
(752) 678-5344
Mailing address
4437 50TH ST APT 7, SAN DIEGO, CA 92115-3378
(752) 678-5344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11492
CA
101YM0800X
Mental Health Counselor
Primary
15436
CA
Other
Enumeration date
02/01/2021
Last updated
01/29/2024
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