Individual provider · Type 1 NPI

Renee Colleen Bacon

Counselor · Big Bear Lake, CA

NPI number 1639860448 Active

Practice location

41945 Big Bear Blvd Ste 222
Big Bear Lake, CA 92315-2030

Call (909) 809-6657 Map

Mailing address

PO Box 1927
Big Bear Lake, CA 92315-1927

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 1639860448

Renee Colleen Bacon's National Provider Identifier is 1639860448, issued on May 15, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Big Bear Lake, CA. The record was last updated on May 15, 2023.