Individual
JACQUELINE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
308 E 2ND ST, BLOOMSBURG, PA 17815-1869
(570) 961-3361
(570) 961-3364
Mailing address
921 MCGUIRE RD, BLOOMSBURG, PA 17815-8557
(570) 851-8179
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
02/23/2024
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