Provider Demographics
NPI:1225529985
Name:BAILEY, JEFF (LPCC)
Entity Type:Individual
Prefix:
First Name:JEFF
Middle Name:
Last Name:BAILEY
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3005 ANCHOR WAY APT 1
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-4716
Mailing Address - Country:US
Mailing Address - Phone:720-548-7077
Mailing Address - Fax:970-698-6659
Practice Address - Street 1:3005 ANCHOR WAY APT 1
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-4716
Practice Address - Country:US
Practice Address - Phone:720-548-7077
Practice Address - Fax:970-698-6659
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-29
Last Update Date:2022-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC14682101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional