Individual provider · Type 1 NPI
Renee L. Bacon, LPC
Professional Counselor · Branford, CT
NPI number
1114577012
Active
Practice location
150 W Main St
Branford, CT 06405-4031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3470 (CT) |
Professional Counselor: Definition to come...
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About NPI 1114577012
Renee L. Bacon, LPC's National Provider Identifier is 1114577012, issued on Sep 13, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Branford, CT. The record was last updated on Nov 22, 2024.