Susan Lorraine Bailes MFT

NPI 1780770669 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1780770669
Gender Female
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
301 THE CITY DR S
ORANGE CA, 92868-3205, US
Phone (714) 935-6363
Fax
Business Location
32904 CHADLYN CT
WILDOMAR CA, 92595-9309, US
Phone
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFCC 43397
Remove 1780770669 NPI Number
 

According to our database, Susan Lorraine Bailes MFT NPI is 1780770669, taxonomy code is 106H00000X and license number is MFCC 43397, license state is located at California. Susan Lorraine Bailes MFT physically located at 301 The City Dr S, Orange CA, 92868-3205. NPI Number Susan Lorraine Bailes MFT has the Individual type.

Sponsored links

1780770669 NPI number is provided on an as is basis without warranty of any kind. 1780770669 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Lorraine Bailes MFT are for informational purposes only.