ANDRI S BAYNUM
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1548865967- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 164 CHALAN JESUS GRACE STREET TALOFOFO, TALOFOFO, GU, 969159691
- Phone
- (671) 653-2313
Specialties & Taxonomies
Counselor, Professional
Primary License: GU #LPC-144
All Addresses
MAILING
164 CHALAN JESUS GRACE STREET TALOFOFO
TALOFOFO, GU, 969154309