MICHAEL CARTER BAILEY

SAN RAFAEL, CA
NPI1558899310
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  CO41770417)
Enumeration Date2017-05-24
Last Update Date2018-03-17
Business Address
MICHAEL CARTER BAILEY CAS 1
710 C ST
SAN RAFAEL, CA 94901-3857
Phone number: 415-485-6736
Mailing Address
MICHAEL CARTER BAILEY CAS 1
243 GRANDVIEW AVE
NOVATO, CA 94945-3503
Phone number: 415-858-4249
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