Bailey, Christoper Shane

Bailey, Christoper Shane is an individual health care provider with primary practice located at 320 E Lee Ave , Yadkinville NC 27055-8132. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bailey, Christoper Shane can be contacted via phone (336) 679-8805.

Contact Information

Primary practice address
320 E Lee Ave Yadkinville NC 27055-8132
Phone: (336) 679-8805
Fax: (336) 679-3075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5493 North Carolina

Profile Details

NPI number 1679781249
LBN Legal business name Bailey, Christoper Shane
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 21st, 2022 - about 4 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 1679781249 NPPES
North Carolina MEDICAID 6103869

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