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NPI Code Detail

MEDICARE: JESSICA BAITY LMFT

MEDICARE: JESSICA BAITY LMFT
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 CounselorCA
2106H00000XMarriage & Family Therapist91020CA
3106H00000XMarriage & Family Therapist138923CA
4106H00000XMarriage & Family Therapist4591-RNV

General Provider Information

NPI Number : 1821501131
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA BAITY LMFT
Provider Business Mailing Address
First Line : 299 12TH ST STE A
Second Line :
City : MARINA
State : CA
Zip : 93933-6003
Country : US
Telephone Number : 831-647-7956
Fax Number :
Provider Business Practice Location Address
First Line : 2740 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-5398
Country : US
Telephone Number : 702-248-8866
Fax Number : 702-248-1339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2017
Last Update Date : 09/18/2023

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