| NPI | 1639786890 |
|---|---|
| Other Name | JULES BLUE BAILON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LASAC-15080) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |