Individual
STACEY A BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
240 N BLOCK AVE, FAYETTEVILLE, AR 72701-5253
(479) 879-5143
Mailing address
240 N BLOCK AVE, FAYETTEVILLE, AR 72701-5253
(479) 879-5143
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A0503016
AR
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/06/2006
Last updated
02/12/2025
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