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NPI Code Detail

MEDICARE: ANNA CLAY BAILEY LPC

MEDICARE: ANNA CLAY BAILEY LPC
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 Counselor0701005899VA

General Provider Information

NPI Number : 1497243752
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA CLAY BAILEY LPC
Provider Business Mailing Address
First Line : 1106 QUINCY ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22302-3214
Country : US
Telephone Number : 202-360-5277
Fax Number :
Provider Business Practice Location Address
First Line : 112 S PITT ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-3112
Country : US
Telephone Number : 202-360-5277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2018
Last Update Date : 04/23/2018

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