Gerry Lee Bailey, CG 60801682

NPI #1497318067 in Longview, Washington

Provider Information

NPI Number: 1497318067
Entity Type: Individual
Name: Gerry Lee Bailey, CG 60801682
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: CG 60801682
Enumeration Date: Apr 18, 2019
Last Updated: Jan 20, 2020

Practice Location

Address: 1338 COMMERCE AVE # H
City: Longview
State: Washington
ZIP Code: 98632-3732
Phone: (306) 261-6930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Peer Specialist	175T00000X	Primary

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