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Justin Tyler Bailey
Counselor in Mullens, West Virginia
NPI 1508406612

Justin Tyler Bailey is a Counselor based in Mullens, WV. Justin Tyler Bailey practices in Mullens, WV. The NPI Number for Justin Tyler Bailey is 1508406612 and holds a License No. (West Virginia).

The current practice location address for Justin Tyler Bailey is 102 Howard Ave, Mullens, WV and can be reached out via phone at 304-294-5353 and via fax at 304-294-8627.

Location: 102 Howard Ave, Mullens, WV, 25882-1419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508406612
Provider Name
Justin Tyler Bailey
Credential
Provider Entity Type
Individual
Gender
Male
Address
102 Howard Ave, Mullens, WV, 25882-1419
Phone Number
304-294-5353
Fax Number
304-294-8627
Provider Enumeration Date
01/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0005489001 05 WV
institution
Provider Business Practice Location Address Details
Address
102 Howard Ave
City
Mullens
State
West Virginia
Zip
25882-1419
Phone Number
304-294-5353
Fax Number
304-294-8627
person
Provider Business Mailing Address Details
Address
102 Howard Ave
City
Mullens
State
West Virginia
Zip
25882-1419
Phone Number
304-294-5353
Fax Number
304-294-8627
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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