Individual
JOHN BAILEY IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3300 HENRY AVE STE 113, PHILADELPHIA, PA 19129-1146
(215) 895-5588
(215) 895-5658
Mailing address
3300 HENRY AVE STE 113, PHILADELPHIA, PA 19129-1146
(215) 895-5588
(215) 895-5658
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008856
PA
Other
Enumeration date
04/09/2016
Last updated
09/03/2021
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