Individual provider · Type 1 NPI

Jesse L. Bailey

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1619855640 Active

Practice location

505 S Pacific Ave
San Pedro, CA 90731-2656

Call (310) 519-8723 Map

Mailing address

10235 Monterey St
Bellflower, CA 90706-6731

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1611070525 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1619855640

Jesse L. Bailey's National Provider Identifier is 1619855640, issued on Aug 26, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Aug 26, 2025.