MS. Jeri Bacon, MA, LPC

NPI #1043412273 in Boulder, Colorado

Provider Information

NPI Number
1043412273
Entity Type
Individual
Name
MS. Jeri Bacon, MA, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
MA, LPC
Enumeration Date
Jun 1, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1208 DEAN PL
ZIP Code
80302-6909
Phone
(303) 589-2052

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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