Provider Demographics
NPI:1932597267
Name:BAILEY, CHRISTIAN (MA, LMHC, SUDP)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MA, LMHC, SUDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 80871
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-0871
Mailing Address - Country:US
Mailing Address - Phone:360-504-6605
Mailing Address - Fax:
Practice Address - Street 1:600 STEWART ST
Practice Address - Street 2:SUITE 400
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101
Practice Address - Country:US
Practice Address - Phone:360-504-6605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-09
Last Update Date:2023-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60688361101YA0400X
WAMC60521583101YM0800X
WALH60706101101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)