Elisha Bacon
NPI #1124525316 in Santa Fe Springs, California
Provider Information
- NPI Number
- 1124525316
- Entity Type
- Individual
- Name
- Elisha Bacon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Apr 12, 2018
- Last Updated
- Apr 12, 2018
Practice Location
- Address
- 11015 BLOOMFIELD AVE
- City
- Santa Fe Springs
- State
- California
- ZIP Code
- 90670-4601
- Phone
- (562) 906-2676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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