NPI 1124315478

Brent Stephen Bailey, CRCLSW

Practitioner Rehabilitation Counselor Bangor, ME

Practice location

Address: 166 Broadway, Bangor, ME 04401-5208
Phone: (207) 947-9630
Fax: (207) 947-9633

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence 00107933

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Registry record

NPI: 1124315478
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2011
Record last updated: 7 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.