Individual
ALICEA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 RUBERTA AVE, APT B, GLENDALE, CA 91201-2764
(818) 802-0187
Mailing address
511 RUBERTA AVE, APT B, GLENDALE, CA 91201-2764
(818) 802-0187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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