Individual provider · NPI-1

Taylor Nicole Bacon

Counselor, Mental Health · Cuyahoga Falls, OH

NPI number1669184172
StatusActive
Last updated in NPPESDec 15, 2022

Details

NPI
1669184172
Entity type
Individual (NPI-1)
Name
Taylor Nicole Bacon
Sex
Female
Sole proprietor
No
Enumeration date
Dec 15, 2022
Certification date
Dec 15, 2022
Last updated
Dec 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Other names

  • Taylor Nicole Thrasher (Former Name)

Practice location

2355 Second St
Cuyahoga Falls, OH 44221-2557

Phone 234-888-3031

Mailing address

9261 Shady Lake Dr Apt 106
Streetsboro, OH 44241-5281

Phone 740-360-8102

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