MEDICARE: CHRISTOPHER 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1780052837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER BAILEY

Provider Business Mailing Address
First Line	:	4715 STUART ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-2564
Country	:	US
Telephone Number	:	205-223-3813
Fax Number	:

Provider Business Practice Location Address
First Line	:	4715 STUART ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-2564
Country	:	US
Telephone Number	:	205-223-3813
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2015
Last Update Date	:	09/07/2015

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Directions to “ CHRISTOPHER BAILEY ” Practice Location

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