Individual provider · Type 1 NPI

Jacob James Bailey

Mental Health Counselor · Southbridge, MA

NPI number 1700762499 Active

Practice location

5 Optical Dr
Southbridge, MA 01550-2559

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1700762499

Jacob James Bailey's National Provider Identifier is 1700762499, issued on Aug 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southbridge, MA. The record was last updated on Aug 18, 2025.