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MS. ROXANN J BAILLERGEON MFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1598805517

Individual Registrant:
MS. ROXANN J BAILLERGEON MFT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
242 N VILLA AVE  WILLOWS, CA 95988-2641 US
Tel: 530-934-6582  Fax: --

Contact information for business:
242 N VILLA AVE  WILLOWS, CA 95988-2641 US
Tel: 530-934-6582  Fax: --

Registration Information:
NPI: 1598805517
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC 42843

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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