Individual provider · Type 1 NPI
Erika Gore Bacon, MA, ATR-BC, LCMHC
Mental Health Counselor · Hanover, NH
NPI number
1235351032
Active
Practice location
16 Kingsford Rd
Hanover, NH 03755-2210
Fax (603) 646-9450
Mailing address
7 Rope Ferry Rd
Hanover, NH 03755-1404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0680000421 (VT) |
Mental Health Counselor: Definition to come...
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About NPI 1235351032
Erika Gore Bacon, MA, ATR-BC, LCMHC's National Provider Identifier is 1235351032, issued on May 2, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hanover, NH. The record was last updated on Jul 8, 2007.