| J Chalice Bailey Lmft Cctp Pllc | |
|
302 N Main St Unit F Coupeville WA 98239-3421 | |
| (206) 484-7501 | |
| Not Available |
| Full Name | J Chalice Bailey Lmft Cctp Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 302 N Main St Unit F, Coupeville, Washington |
| Authorized Official Name and Position | J Chalice Bailey (COUNSELOR) |
| Authorized Official Contact | 2064847501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Chalice Bailey Lmft Cctp Pllc 304 N Main St Apt 22 Coupeville WA 98239-3410 Ph: (206) 484-7501 | J Chalice Bailey Lmft Cctp Pllc 302 N Main St Unit F Coupeville WA 98239-3421 Ph: (206) 484-7501 |
| NPI Number | 1952949554 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 12/13/2019 |
| Certification Date | 12/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952949554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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