Individual
JANEICE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
1401 WASHINGTON AVE, CAIRO, IL 62914-1810
(618) 734-2665
Mailing address
111 N SPENCER ST, MOUNDS, IL 62964-1236
(618) 306-1662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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