Doctor Name: | KYMBERLIE JEAN BAILEY |
NPI Number: | 1053665422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 2347 |
Business Practice Address: | 322 2nd Ave W Kalispell, MT - 599014894 |
Business Phone Number: | 4067554022 |
Business Fax Number: | |
Mailing Address: | 322 2nd Ave W, KALISPELL |
State: | MT |
Postal Code: | 599014894 |
Phone Number: | 4067554022 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2012 |
NPI Last Update Date: | 05/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2347 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |