Individual provider · NPI-1

Desiree K Bailey

Counselor, Professional · Saint Clair Shores, MI

NPI number1215711320
StatusActive
Last updated in NPPESAug 21, 2023

Details

NPI
1215711320
Entity type
Individual (NPI-1)
Name
Desiree K Bailey
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 21, 2023
Certification date
Aug 21, 2023
Last updated
Aug 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

23100 Jefferson Ave
Saint Clair Shores, MI 48080-2756

Phone 586-335-2006

Mailing address

16871 Forrer St
Detroit, MI 48235-3506

Phone 313-402-4655

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