Individual provider · Type 1 NPI
Elizabeth Cantwell Bacon, M. ED., CCC, AAC
Counselor · Kirkland, WA
NPI number
1104251503
Active
Practice location
12040 98th Ave NE, Suite 205
Kirkland, WA 98034-4290
Mailing address
12040 98th Avenue NE, Suite 205
Kirkland, WA 98034-6314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | CL60389203 (WA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1104251503
Elizabeth Cantwell Bacon, M. ED., CCC, AAC's National Provider Identifier is 1104251503, issued on Sep 5, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Kirkland, WA. The record was last updated on Sep 5, 2013.