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Contact Information

DEBORAH J BAILLY, LADC, CCS, LCSW
253-255 HAMMOND ST.
BANGOR, ME04401
 Phone: 207-941-1612
 Fax: 207-941-1634
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for DEBORAH J BAILLY · (Female)

NPI Number 1790916898
Status Active
Credentials LADC, CCS, LCSW
Entity Individual
Enumeration date 08/06/2009
Last updated 08/06/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • ME License # CCS3171
  • ME License # LC1261
  • ME License # LC5073
  • ME Medicaid 432237599
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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