Provider Demographics
NPI:1326324161
Name:BAILEY, JULIANNE M (MS, LCMHC)
Entity Type:Individual
Prefix:MS
First Name:JULIANNE
Middle Name:M
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MS, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SMUTTY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NH
Mailing Address - Zip Code:03771-3016
Mailing Address - Country:US
Mailing Address - Phone:603-359-1115
Mailing Address - Fax:
Practice Address - Street 1:74 COTTAGE ST STE 7
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-4226
Practice Address - Country:US
Practice Address - Phone:603-359-1115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH888101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health