Justin David Bailem MHC

NPI 1093140352 - Counselor - 101YM0800X

NPI Details
NPI 1093140352
Gender Male
Enumeration Date 09/05/2013
Last Updated 09/05/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
403 STONY LANDING RD
MONCKS CORNER SC, 29461-3967, US
Phone (843) 761-8282
Fax (843) 761-7308
Business Location
403 STONY LANDING RD
MONCKS CORNER SC, 29461-3967, US
Phone (843) 761-8282
Fax (843) 761-7308
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mr. Justin David Bailem MHC NPI is 1093140352, taxonomy code is 101YM0800X Justin David Bailem MHC physically located at 403 Stony Landing Rd, Moncks Corner SC, 29461-3967. NPI Number Justin David Bailem MHC has the Individual type.

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1093140352 NPI number is provided on an as is basis without warranty of any kind. 1093140352 is maintained by the National Plan & Provider Enumeration System. The contents of Justin David Bailem MHC are for informational purposes only.