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NPI Code Detail

MEDICARE: KARINA T BAILEY

MEDICARE: KARINA T 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
1101YP2500XProfessional CounselorLPC014073GA

General Provider Information

NPI Number : 1376083675
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARINA T BAILEY
Provider Business Mailing Address
First Line : 2500 DALLAS HWY SW # 202-1511
Second Line :
City : MARIETTA
State : GA
Zip : 30064-2567
Country : US
Telephone Number : 610-675-3733
Fax Number : 267-433-3994
Provider Business Practice Location Address
First Line : 625 S MARIETTA PKWY SE
Second Line :
City : MARIETTA
State : GA
Zip : 30060-2748
Country : US
Telephone Number : 470-377-7228
Fax Number : 470-467-7583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2017
Last Update Date : 12/02/2024

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Directions to “ KARINA T BAILEY ” Practice Location

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