Individual
DEBRA DOUP BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCCS
Contact information
Practice address
1033 DEVLAC GRV, BOWLING GREEN, OH 43402-4501
(419) 352-6460
(419) 352-3407
Mailing address
PO BOX 29, BOWLING GREEN, OH 43402
(419) 352-6460
(419) 352-3407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
131104
OH
101YP2500X
Professional Counselor
Primary
E.0602259SUPV
OH
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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