Dominique Bailey
Counselor, Mental Health in Spokane, WA. Individual provider (NPI-1).
NPI number1467076554
StatusActive
Last updated in NPPESMay 21, 2024
Details
- NPI
- 1467076554
- Entity type
- Individual (NPI-1)
- Name
- Dominique Bailey
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2020
- Certification date
- May 13, 2024
- Last updated
- May 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MC61560158 | WA | Yes |
Practice location
Washington Registered Agent, LLC.100 N Howard Street Suite W
Spokane, WA 99201
Phone 850-755-1111
Mailing address
Washington Registered Agent, LLC.100 N Howard Street Suite W
Spokane, WA 99201
Phone 850-755-1111
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