Provider Demographics
NPI:1982901450
Name:BAILEY, JOCELYN MARGARET (LMHC)
Entity Type:Individual
Prefix:MS
First Name:JOCELYN
Middle Name:MARGARET
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:MARGARET
Other - Last Name:ESCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:616 E. COLFAX AVE.
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-2827
Mailing Address - Country:US
Mailing Address - Phone:574-210-8098
Mailing Address - Fax:574-207-0565
Practice Address - Street 1:616 E. COLFAX AVE.
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46617-2827
Practice Address - Country:US
Practice Address - Phone:574-210-8098
Practice Address - Fax:574-207-0565
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-18
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health