person
Ms. Jeri Bacon, MA,LPC
Professional Counselor in Boulder, Colorado
NPI 1043412273

Jeri Bacon is a Professional Counselor based in Boulder, CO and is specialized in Professional. Jeri Bacon practices in Boulder, CO and has the professional credentials of MA,LPC. The NPI Number for Jeri Bacon is 1043412273 and holds a License No. 771 (Colorado).

The current practice location address for Jeri Bacon is 1208 Dean Pl, Boulder, CO and can be reached out via phone at 303-589-2052.

Location: 1208 Dean Pl, Boulder, CO, 80302-6909
person
Provider Profile Details
NPI Number
1043412273
Provider Name
Jeri Bacon
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
1208 Dean Pl, Boulder, CO, 80302-6909
Phone Number
303-589-2052
Fax Number
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
771 01 CO LPC
institution
Provider Business Practice Location Address Details
Address
1208 Dean Pl
City
State
Zip
80302-6909
Phone Number
303-589-2052
Fax Number
person
Provider Business Mailing Address Details
Address
1208 Dean Pl
City
State
Zip
80302-6909
Phone Number
303-589-2052
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
771 (Colorado)
Definition
Definition to come...
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