| Doctor Name: | MR. ADOLPHUS FRED BAILEY |
| NPI Number: | 1063587723 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MHP |
| License Number: | |
| Business Practice Address: | 4009 Eufaula Ave Muskogee, OK - 744031132 |
| Business Phone Number: | 9186822841 |
| Business Fax Number: | 9186823359 |
| Mailing Address: | 2514 Gibson St, MUSKOGEE |
| State: | OK |
| Postal Code: | 744032711 |
| Phone Number: | 9186801133 |
| Fax Number: | |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |