Individual
DR. KENDRICK DENARD BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPC, LPC-S, NCC
Contact information
Practice address
2633 RIDGEWOOD RD STE 204, JACKSON, MS 39216-4976
(769) 251-5133
Mailing address
2633 RIDGEWOOD RD STE 204, JACKSON, MS 39216-4976
(769) 251-5133
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1512
MS
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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