Courtney Bacon-Latina, LPC

NPI #1922649532 in Malvern, Arkansas

Provider Information

NPI Number
1922649532
Entity Type
Individual
Name
Courtney Bacon-Latina, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LPC
Enumeration Date
Oct 4, 2019
Last Updated
Apr 1, 2022

Practice Location

Address
829 HALBERT ST
ZIP Code
72104-2607
Phone
(501) 332-4400

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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