Individual
BAILEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCPT
Contact information
Practice address
5 W CAYUGA ST, OSWEGO, NY 13126-2031
(315) 342-9255
Mailing address
5 W CAYUGA ST, OSWEGO, NY 13126-2031
(315) 342-9255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18006982
NY
Other
Enumeration date
01/25/2016
Last updated
06/15/2016
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