Berkeley Van Bailey Jr.
Counselor, Professional in Celina, TX. Individual provider (NPI-1).
NPI number1306401237
StatusActive
Last updated in NPPESMay 6, 2019
Details
- NPI
- 1306401237
- Entity type
- Individual (NPI-1)
- Name
- Mr. Berkeley Van Bailey Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 6, 2019
- Last updated
- May 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 81823 | TX | Yes |
Practice location
114 N Ohio St Ste 201Celina, TX 75009-6230
Phone 469-626-8787
Mailing address
3613 Stonington DrPlano, TX 75093-7742
Phone 214-412-4399
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