Olan Bailey III, R1469130522
Olan Bailey III, R1469130522 is an Addiction (Substance Use Disorder) Counselor in San Leandro, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2035 Fairmont DrSan Leandro, CA 94578-1088
Phone: (510) 346-7836
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1649907353 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | R1469130522 |
| Sole proprietor | Yes |
| NPI enumerated | August 3, 2022 |
| Last updated in NPPES | August 3, 2022 |
| Certification date | August 3, 2022 |
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