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Baily Brennan Lavinio
Mental Health Counselor in Santa Monica, California
NPI 1699215897

Baily Brennan Lavinio is a Mental Health Counselor based in Palm Beach Gardens, CA and is specialized in Mental Health. Baily Brennan Lavinio practices in Santa Monica, CA. The NPI Number for Baily Brennan Lavinio is 1699215897 and holds a License No. P03920 (California).

The current practice location address for Baily Brennan Lavinio is 2415 Michigan Ave, Santa Monica, CA and can be reached out via phone at 310-526-4494.

Location: 2415 Michigan Ave, Santa Monica, CA, 33412-2488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699215897
Provider Name
Baily Brennan Lavinio
Credential
Provider Entity Type
Individual
Gender
Female
Address
2415 Michigan Ave, Santa Monica, CA, 33412-2488
Phone Number
310-526-4494
Fax Number
Provider Enumeration Date
03/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2415 Michigan Ave
City
Santa Monica
State
California
Zip
90404-4009
Phone Number
310-526-4494
Fax Number
person
Provider Business Mailing Address Details
Address
2415 Michigan Ave
City
Santa Monica
State
California
Zip
90404-4009
Phone Number
310-526-4494
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
P03920 (New York)
Definition
Definition to come...
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