Individual
JANET M BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
2074 GALISTEO ST STE A1, SANTA FE, NM 87505-2104
(505) 474-3481
(505) 474-3451
Mailing address
2074 GALISTEO ST STE A1, SANTA FE, NM 87505-2104
(505) 474-3481
(505) 474-3451
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0630
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000N3804
—
NM
Enumeration date
08/17/2006
Last updated
07/08/2007
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