person
Katie Lee Bacon, MAMASTEROFARTS
Mental Health Counselor in Lincoln, Nebraska
NPI 1073652111

Katie Lee Bacon is a Mental Health Counselor based in Lincoln, NE and is specialized in Mental Health. Katie Lee Bacon practices in Lincoln, NE and has the professional credentials of MAMASTEROFARTS. The NPI Number for Katie Lee Bacon is 1073652111 and holds a License No. 1721 (Nebraska).

The current practice location address for Katie Lee Bacon is 7501 O St, Lincoln, NE and can be reached out via phone at 402-477-0651 and via fax at 402-477-0332.

Location: 7501 O St, Lincoln, NE, 68510-2485
person
Provider Profile Details
NPI Number
1073652111
Provider Name
Katie Lee Bacon
Credential
MAMASTEROFARTS
Provider Entity Type
Individual
Gender
Female
Address
7501 O St, Lincoln, NE, 68510-2485
Phone Number
402-477-0651
Fax Number
402-477-0332
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
96065 01 NE BCBS
institution
Provider Business Practice Location Address Details
Address
7501 O St
City
State
Zip
68510-2485
Phone Number
402-477-0651
Fax Number
402-477-0332
person
Provider Business Mailing Address Details
Address
7501 O St
City
State
Zip
68510-2485
Phone Number
402-477-0651
Fax Number
402-477-0332
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3399 (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1721 (Nebraska)
Definition
Definition to come...
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