Amanda Bacon

NPI #1164999652 in Juneau, Alaska

Provider Information

NPI Number: 1164999652
Entity Type: Individual
Name: Amanda Bacon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 1, 2018
Last Updated: Nov 1, 2018

Practice Location

Address: 3406 GLACIER HWY
City: Juneau
State: Alaska
ZIP Code: 99801-7251
Phone: (907) 463-3303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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