Brandy Ellen Bacon
NPI #1861090383 in Mccleary, Washington
Provider Information
- NPI Number
- 1861090383
- Entity Type
- Individual
- Name
- Brandy Ellen Bacon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 16, 2020
- Last Updated
- Oct 16, 2020
Practice Location
- Address
- 322 S BIRCH ST
- City
- Mccleary
- State
- Washington
- ZIP Code
- 98557-9522
- Phone
- (360) 205-4750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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