MS. Elissa Michelle Bailey

NPI #1396570685 in Bloomington, Illinois

Provider Information

NPI Number: 1396570685
Entity Type: Individual
Name: MS. Elissa Michelle Bailey
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Sep 5, 2024
Last Updated: Sep 5, 2024

Practice Location

Address: 2206 EASTLAND DR STE 101
City: Bloomington
State: Illinois
ZIP Code: 61704-7742
Phone: (217) 714-7042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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