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Tessa Bailey

Counselor, Mental Health in Rockford, IL. Individual provider (NPI-1).

NPI number1609352236
StatusActive
Last updated in NPPESNov 12, 2024

Details

NPI
1609352236
Entity type
Individual (NPI-1)
Name
Tessa Bailey
Sex
Female
Sole proprietor
No
Enumeration date
Jul 17, 2018
Certification date
Nov 12, 2024
Last updated
Nov 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
101YP2500X Counselor, Professional––

Practice location

1629 N Alpine Rd Ste 260
Rockford, IL 61107-1414

Phone 815-332-8003

Mailing address

1021 N Mulford Rd
Rockford, IL 61107-3877

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