MS. Rebecca Coralyn Bacon, APC

NPI #1508133752 in Clearfield, Utah

Provider Information

NPI Number: 1508133752
Entity Type: Individual
Name: MS. Rebecca Coralyn Bacon, APC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: APC
Enumeration Date: Nov 16, 2011
Last Updated: Nov 16, 2011

Practice Location

Address: 189 S STATE ST
Address 2: STE 160
City: Clearfield
State: Utah
ZIP Code: 84015-1061
Phone: (801) 773-2044

Specialties & Taxonomy Codes

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

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