Individual provider · Type 1 NPI

Jacquelyn Bacon

Counselor · Ravenna, OH

NPI number 1336593797 Active

Practice location

520 N Chestnut St
Ravenna, OH 44266-2218

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1336593797

Jacquelyn Bacon's National Provider Identifier is 1336593797, issued on Apr 21, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ravenna, OH. The record was last updated on Apr 21, 2016.