Maryann Bacon
NPI #1124216627 in Susanville, California
Provider Information
- NPI Number
- 1124216627
- Entity Type
- Individual
- Name
- Maryann Bacon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Oct 9, 2007
- Last Updated
- Oct 9, 2007
Practice Location
- Address
- 1410 CHESTNUT ST
- City
- Susanville
- State
- California
- ZIP Code
- 96130-3719
- Phone
- (530) 251-8112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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