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NPI Code Detail

MEDICARE: BAILEY KATHRYN D'ANTONI MA, LPC

MEDICARE:   BAILEY KATHRYN D'ANTONI  MA, 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
1101YM0800XMental Health Counselor3101WV

General Provider Information

NPI Number : 1760264220
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEY KATHRYN D'ANTONI MA, LPC
Provider Business Mailing Address
First Line : 829 MCQUEEN BLVD
Second Line :
City : SAINT ALBANS
State : WV
Zip : 25177-3752
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 CARRIAGE PT
Second Line :
City : HURRICANE
State : WV
Zip : 25526-1526
Country : US
Telephone Number : 304-768-5506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2023
Last Update Date : 03/09/2026

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Directions to “ BAILEY KATHRYN D'ANTONI MA, LPC” Practice Location

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