Individual provider · Type 1 NPI

Stacy Bacon

Addiction (Substance Use Disorder) Counselor · Seattle, WA

NPI number 1770140998 Active

Practice location

1701 18th Ave S
Seattle, WA 98144-4317

Call (253) 833-7444 Map

Mailing address

1412 140th Pl NE
Bellevue, WA 98007-3915

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60251849 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1770140998

Stacy Bacon's National Provider Identifier is 1770140998, issued on May 22, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Seattle, WA. The record was last updated on Dec 30, 2021.