Individual
MRS. ALEXIS DANIELLE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
407 S 3RD ST, IRONTON, OH 45638-1730
(740) 534-1200
Mailing address
5827 GLENN ST, PORTSMOUTH, OH 45662-5443
(740) 821-1544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.189588
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDCA.189588
CDCA
OH
Enumeration date
06/17/2024
Last updated
08/17/2024
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