Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse L Bailey

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1619855640

Jesse L Bailey is an Addiction (Substance Use Disorder) Counselor in San Pedro, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

505 S Pacific Ave
San Pedro, CA 90731-2656
Phone: (310) 519-8723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1611070525 (CA)

Record details

NPI number1619855640
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 26, 2025
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025
Mailing address10235 Monterey St, Bellflower, CA 90706-6731

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