Individual provider · Type 1 NPI

Bailey Gilliam, LAC

Mental Health Counselor · Glendale, AZ

NPI number 1407478928 Active

Practice location

17235 N 75th Ave Ste F100
Glendale, AZ 85308-0871

Mailing address

335 N Alma School Rd Ste E
Chandler, AZ 85224-4363

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC18882 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1407478928

Bailey Gilliam, LAC's National Provider Identifier is 1407478928, issued on May 7, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glendale, AZ. The record was last updated on May 7, 2020.