Bailey, Beth Louise

Bailey, Beth Louise is an individual health care provider with primary practice located at 555 Nw 5Th St , Corvallis OR 97330-6418. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Bailey, Beth Louise can be contacted via phone (541) 757-4121.

Contact Information

Primary practice address
555 Nw 5Th St Corvallis OR 97330-6418
Phone: (541) 757-4121
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-10963 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-11732 Arizona
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 07-R-16 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC Oregon

Profile Details

NPI number 1164464277
LBN Legal business name Bailey, Beth Louise
Credentials CADC III, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 30th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164464277 NPPES
Arizona Other 084198 AHCCCS #
Arizona Other 50531 11292799-1A AHCCCS #

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