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Individual

BAILEY MINKEWICZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC-S, CDCA

Contact information

Practice address
7031 CORPORATE WAY STE 103, DAYTON, OH 45459-4262
(937) 619-9089
Mailing address
486 S RACCOON RD APT E39, AUSTINTOWN, OH 44515-3620
(330) 718-5606

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.2404300-SUPV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15506459
CAQH
05
74123828
OH
Enumeration date
08/31/2020
Last updated
09/25/2025
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