Individual provider · Type 1 NPI

Katie Lee Bacon, MA MASTER OF ARTS

Mental Health Counselor · Lincoln, NE

NPI number 1073652111 Active

Practice location

7501 O St, Suite 100
Lincoln, NE 68510-2485

Fax (402) 477-0332

Mailing address

7501 O St Ste 100
Lincoln, NE 68510-2485

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X1721 (NE)
Mental Health Counselor Primary 101YM0800X3399 (NE)

Mental Health Counselor: Definition to come...

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About NPI 1073652111

Katie Lee Bacon, MA MASTER OF ARTS's National Provider Identifier is 1073652111, issued on Feb 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lincoln, NE. The record was last updated on Dec 8, 2023.