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MS. CARMELLA MONIQUE BAILEY CADC II
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1558767020
Individual Registrant:MS. CARMELLA MONIQUE BAILEY CADC II
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
18912 PATRICIAN DR VILLA PARK, CA 92861-4214 US
Tel: 714-949-9426 Fax: --
Tel: 714-949-9426 Fax: --
Contact information for business:
1300 ADAMS AVE APT 7P COSTA MESA, CA 92626-8323 US
Tel: 714-248-2378 Fax: --
Tel: 714-248-2378 Fax: --
Registration Information:
NPI: 1558767020
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | CA | A021840216 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
