Kimberly Bacon, LPC

NPI #1366818452 in Purcell, Oklahoma

Provider Information

NPI Number: 1366818452
Entity Type: Individual
Name: Kimberly Bacon, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Aug 12, 2015
Last Updated: Mar 9, 2023

Practice Location

Address: 112 W MAIN ST
City: Purcell
State: Oklahoma
ZIP Code: 73080-4220
Phone: (405) 527-1785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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