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Provider Information for 1306351440


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BAILEY NOEL WESTERFIELD ANDERSON LPC


Sex: Female

NPI: 1306351440
Last Updated: 2024-04-10
Certification Date: 2021-04-14

Details

NameValue
NPI1306351440
Enumeration Date2017-12-12
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1530 YORK RD
COLORADO SPRINGS, CO 80918-1031
United States

Phone: 719-722-9089 | Fax:719-722-9089
 
Primary Practice Address 1283 KELLY JOHNSON BLVD STE 200
COLORADO SPRINGS, CO 80920-3925
United States

Phone: 719-722-9089 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 106S00000X - Behavior Technician WACD60772874
Yes 101YP2500X - Counselor - Professional