Shauna Marie Bacon

NPI #1386152403 in Cedar City, Utah

Provider Information

NPI Number: 1386152403
Entity Type: Individual
Name: Shauna Marie Bacon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 11, 2018
Last Updated: Jan 11, 2018

Practice Location

Address: 245 E 680 S
City: Cedar City
State: Utah
ZIP Code: 84720-3593
Phone: (435) 867-7654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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