Individual provider · Type 1 NPI
Alexandra Bacon, LCSW
Mental Health Counselor · Charlotte, NC
NPI number
1457193229
Active
Practice location
1412 Providence Rd
Charlotte, NC 28207-2543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C004026 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1457193229
Alexandra Bacon, LCSW's National Provider Identifier is 1457193229, issued on Jun 11, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Jun 11, 2024.