Individual provider · Type 1 NPI
Lisa Michelle Bacon, LMHC
Mental Health Counselor · Harwich Port, MA
NPI number
1861629677
Active
Practice location
710 Route 28
Harwich Port, MA 02646-1931
Mailing address
PO Box 309
Harwich, MA 02645-0309
Other practice locations
- 11 Williamsburg Ave, Harwich, MA 02645-2104 · (774) 316-2484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LC3045 (MD) |
| Mental Health Counselor Primary | 101YM0800X | 9682 (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1861629677
Lisa Michelle Bacon, LMHC's National Provider Identifier is 1861629677, issued on Jun 18, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Harwich Port, MA. The record was last updated on Feb 16, 2024.