Individual provider · Type 1 NPI

Olan Bailey Iii, R1469130522

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

NPI number 1649907353 Active

Practice location

2035 Fairmont Dr
San Leandro, CA 94578-1088

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1649907353

Olan Bailey Iii, R1469130522's National Provider Identifier is 1649907353, issued on Aug 3, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Leandro, CA. The record was last updated on Aug 3, 2022.