Individual provider · Type 1 NPI

Courtney Bacon-Latina, LPC

Mental Health Counselor · Malvern, AR

NPI number 1922649532 Active

Practice location

829 Halbert St
Malvern, AR 72104-2607

Call (501) 332-4400 Map

Fax (501) 332-4403

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP2203015 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1922649532

Courtney Bacon-Latina, LPC's National Provider Identifier is 1922649532, issued on Oct 4, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Malvern, AR. The record was last updated on Apr 1, 2022.