person
Mr. Justin David Bailem, MHC
Mental Health Counselor in Moncks Corner, South Carolina
NPI 1093140352

Justin David Bailem is a Mental Health Counselor based in Moncks Corner, SC and is specialized in Mental Health. Justin David Bailem practices in Moncks Corner, SC and has the professional credentials of MHC. The NPI Number for Justin David Bailem is 1093140352 and holds a License No. (South Carolina).

The current practice location address for Justin David Bailem is 403 Stony Landing Rd, Moncks Corner, SC and can be reached out via phone at 843-761-8282 and via fax at 843-761-7308.

Location: 403 Stony Landing Rd, Moncks Corner, SC, 29461-3967
person
Provider Profile Details
NPI Number
1093140352
Provider Name
Justin David Bailem
Credential
MHC
Provider Entity Type
Individual
Gender
Male
Address
403 Stony Landing Rd, Moncks Corner, SC, 29461-3967
Phone Number
843-761-8282
Fax Number
843-761-7308
Provider Enumeration Date
09/05/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
435201 05 SC
institution
Provider Business Practice Location Address Details
Address
403 Stony Landing Rd
City
State
Zip
29461-3967
Phone Number
843-761-8282
Fax Number
843-761-7308
person
Provider Business Mailing Address Details
Address
403 Stony Landing Rd
City
State
Zip
29461-3967
Phone Number
843-761-8282
Fax Number
843-761-7308
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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