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Bailey Shockley
Addiction (Substance Use Disorder) Counselor in Roseville, California
NPI 1962265462

Bailey Shockley is an Addiction (Substance Use Disorder) Counselor based in Roseville, CA and is specialized in Addiction (Substance Use Disorder). Bailey Shockley practices in Roseville, CA. The NPI Number for Bailey Shockley is 1962265462 and holds a License No. (California).

The current practice location address for Bailey Shockley is 1133 Coloma Way Ste C, Roseville, CA and can be reached out via phone at 916-774-6647.

Location: 1133 Coloma Way Ste C, Roseville, CA, 95661-4480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962265462
Provider Name
Bailey Shockley
Credential
Provider Entity Type
Individual
Gender
Female
Address
1133 Coloma Way Ste C, Roseville, CA, 95661-4480
Phone Number
916-774-6647
Fax Number
Provider Enumeration Date
02/06/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1133 Coloma Way Ste C
City
Roseville
State
California
Zip
95661-4480
Phone Number
916-774-6647
Fax Number
person
Provider Business Mailing Address Details
Address
1133 Coloma Way Ste C
City
Roseville
State
California
Zip
95661-4480
Phone Number
916-774-6647
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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