Individual provider · Type 1 NPI

Jennie Bacon

Counselor · Meridian, ID

NPI number 1952016701 Active

Practice location

1519 N Main St # 110
Meridian, ID 83642-1717

Call (208) 724-8284 Map

Mailing address

1628 S Loggers Pond Pl Apt 13
Boise, ID 83706-6599

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPC-8077 (ID)

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 1952016701

Jennie Bacon's National Provider Identifier is 1952016701, issued on Jan 17, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Meridian, ID. The record was last updated on Jan 17, 2023.