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
Health care specialties
Specialty | Code | License # | 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 17 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 | 1164464277 | NPPES |
Arizona | Other | 084198 | AHCCCS # |
Arizona | Other | 50531 11292799-1A | AHCCCS # |
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