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MARQUITA BAILEY MHA

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1275983694

Individual Registrant:
 MARQUITA  BAILEY MHA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
104 S FRONT AVE  PRESTONSBURG, KY 41653-1614 US
Tel: 606-886-8572  Fax: 606-886-4433

Contact information for business:
104 S FRONT AVE  PRESTONSBURG, KY 41653-1614 US
Tel: 606-886-8572  Fax: 606-886-4433

Registration Information:
NPI: 1275983694
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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