MR. Ronald A. Bacon, M.A., M.DIV.

NPI #1104033109 in San Juan Capistrano, California

Provider Information

NPI Number
1104033109
Entity Type
Individual
Name
MR. Ronald A. Bacon, M.A., M.DIV.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
M.A., M.DIV.
Enumeration Date
May 17, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
31952 CAMINO CAPISTRANO
Address 2
C-23
ZIP Code
92675-3229
Phone
(949) 488-8990

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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