Individual provider · Type 1 NPI

Andrea Bacon

Counselor · Braintree, MA

NPI number 1861036428 Active

Practice location

400 Washington St Ste 303
Braintree, MA 02184-4768

Mailing address

61 Richards Rd
Southborough, MA 01772-1928

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 1861036428

Andrea Bacon's National Provider Identifier is 1861036428, issued on Nov 6, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Braintree, MA. The record was last updated on Nov 6, 2019.