Individual
ANTHONY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
165 OLD BRYSON RD, LESTER, WV 25865-9648
(304) 712-0775
Mailing address
165 OLD BRYSON RD, LESTER, WV 25865-9648
(304) 712-0775
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WV
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/28/2026
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