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Contact Information

JULIE BAILEY
2311 S ILLINOIS AVE
CARBONDALE, IL62903-5912
 Phone: 618-457-6703
 Fax: 618-549-3734
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for JULIE BAILEY · (Female)

NPI Number 1952761835
Status Active
Credentials
Entity Individual
Enumeration date 03/04/2016
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 180.011819
  • IL Medicaid 370916475048
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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