Individual
BAILI ALEXIS DIEFENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPCA
Contact information
Practice address
125 EAGLE NEST DR, PADUCAH, KY 42003-9435
(270) 898-1293
(270) 898-1187
Mailing address
230 HEATHER LN, LEDBETTER, KY 42058-9735
(618) 218-8723
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
299334
KY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/25/2025
Last updated
06/12/2025
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