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Brandy Ellen Bacon
Mental Health Counselor in Mccleary, Washington
NPI 1861090383

Brandy Ellen Bacon is a Mental Health Counselor based in Mccleary, WA and is specialized in Mental Health. Brandy Ellen Bacon practices in Mccleary, WA. The NPI Number for Brandy Ellen Bacon is 1861090383 and holds a License No. (Washington).

The current practice location address for Brandy Ellen Bacon is 322 S Birch St, Mccleary, WA and can be reached out via phone at 360-205-4750.

Location: 322 S Birch St, Mccleary, WA, 98557
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861090383
Provider Name
Brandy Ellen Bacon
Credential
Provider Entity Type
Individual
Gender
Female
Address
322 S Birch St, Mccleary, WA, 98557
Phone Number
360-205-4750
Fax Number
Provider Enumeration Date
10/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
322 S Birch St
City
Mccleary
State
Washington
Zip
98557-9522
Phone Number
360-205-4750
Fax Number
person
Provider Business Mailing Address Details
Address
322 S Birch St
City
Mccleary
State
Washington
Zip
98557-9522
Phone Number
360-205-4750
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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