Individual provider · Type 1 NPI
Tennille Bailey
Addiction (Substance Use Disorder) Counselor · Gardena, CA
NPI number
1801695028
Active
Practice location
15519 Crenshaw Blvd
Gardena, CA 90249-4525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1602730325 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1801695028
Tennille Bailey's National Provider Identifier is 1801695028, issued on Mar 11, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gardena, CA. The record was last updated on Mar 31, 2025.