Individual
MS. KIM BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT, SAP
Contact information
Practice address
820 JORDAN ST STE 510D, SHREVEPORT, LA 71101-4526
(318) 286-8501
(318) 606-2038
Mailing address
820 JORDAN ST STE 510D, SHREVEPORT, LA 71101-4526
(318) 286-8501
(318) 606-2038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1740
LA
106H00000X
Marriage & Family Therapist
218
LA
Other
Enumeration date
02/05/2007
Last updated
04/02/2019
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