Individual
BAILEY TYLER COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 7TH AVE, SANTA CRUZ, CA 95062-1663
(831) 420-1020
(831) 420-1057
Mailing address
2115 7TH AVE, SANTA CRUZ, CA 95062-1663
(831) 420-1020
(831) 420-1057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Enumeration date
10/16/2019
Last updated
09/27/2022
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