Justin Tyler Bailey

NPI #1508406612 in Mullens, West Virginia

Provider Information

NPI Number: 1508406612
Entity Type: Individual
Name: Justin Tyler Bailey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 7, 2020
Last Updated: Jan 7, 2020

Practice Location

Address: 102 HOWARD AVE
City: Mullens
State: West Virginia
ZIP Code: 25882-1419
Phone: (304) 294-5353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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