Bailey, Carl Eugene
Bailey, Carl Eugene is an individual health care provider with primary practice located at 233 Base Line Rd Box 400, La Verne CA 91750-2353. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bailey, Carl Eugene can be contacted via phone (909) 593-2581.Contact Information
Primary practice address
233 Base Line Rd Box 400
La Verne CA 91750-2353
Phone: (909) 593-2581
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS 19539 | California |
Profile Details
| NPI number | 1699891788 |
|---|---|
| LBN Legal business name | Bailey, Carl Eugene |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699891788 | NPPES |
| California | Other | 7565A | OUTPATIENT MENTAL HEALTH |
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