Individual provider · Type 1 NPI
Antwon Bailey
Addiction (Substance Use Disorder) Counselor · Hendersonville, TN
NPI number
1144685405
Active
Practice location
100 Hazel Path Lexington, Suite D
Hendersonville, TN 37075
Mailing address
100 Hazel Path Lexington Bldg, Suite D
Hendersonville, TN 37075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1186 (TN) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 32490 (IL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1144685405
Antwon Bailey's National Provider Identifier is 1144685405, issued on Dec 30, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hendersonville, TN. The record was last updated on Dec 30, 2015.