Individual provider · Type 1 NPI
Jeri Bacon, MA, LPC
Professional Counselor · Boulder, CO
NPI number
1043412273
Active
Practice location
1208 Dean Pl
Boulder, CO 80302-6909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 771 (CO) |
Professional Counselor: Definition to come...
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About NPI 1043412273
Jeri Bacon, MA, LPC's National Provider Identifier is 1043412273, issued on Jun 1, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boulder, CO. The record was last updated on Jul 8, 2007.