Renee L Bacon, LPC
NPI #1114577012 in Branford, Connecticut
Provider Information
- NPI Number
- 1114577012
- Entity Type
- Individual
- Name
- Renee L Bacon, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Sep 13, 2019
- Last Updated
- Nov 22, 2024
Practice Location
- Address
- 150 W MAIN ST
- City
- Branford
- State
- Connecticut
- ZIP Code
- 06405-4031
- Phone
- (203) 318-4220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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