Rachel Bacon
Counselor, Mental Health in Bend, OR. Individual provider (NPI-1).
NPI number1609623883
StatusActive
Last updated in NPPESMay 4, 2024
Details
- NPI
- 1609623883
- Entity type
- Individual (NPI-1)
- Name
- Rachel Bacon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2024
- Certification date
- May 4, 2024
- Last updated
- May 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
19549 Sager LoopBend, OR 97702-9810
Phone 541-410-1315
Mailing address
19549 Sager LoopBend, OR 97702-9810
Phone 541-410-1315
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