Provider Demographics
NPI:1477653632
Name:BAILOR, AIMEE SUE (LPC)
Entity Type:Individual
Prefix:MS
First Name:AIMEE
Middle Name:SUE
Last Name:BAILOR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:SUE
Other - Last Name:BLUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1950 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4208
Mailing Address - Country:US
Mailing Address - Phone:717-658-3999
Mailing Address - Fax:
Practice Address - Street 1:1950 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4208
Practice Address - Country:US
Practice Address - Phone:717-658-3999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007515101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health