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NPI Code Detail

MEDICARE: JERMAINE BAILEY

MEDICARE:   JERMAINE  BAILEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorOH

General Provider Information

NPI Number : 1629912225
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERMAINE BAILEY
Provider Business Mailing Address
First Line : 883 KENMORE BLVD
Second Line :
City : AKRON
State : OH
Zip : 44314-2147
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1901 CLEVELAND AVE NW # AGE
Second Line :
City : CANTON
State : OH
Zip : 44709-3603
Country : US
Telephone Number : 330-730-7026
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “ JERMAINE BAILEY ” Practice Location

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