person
Graham Bacon, PCLC
Professional Counselor in Missoula, Montana
NPI 1871299453

Graham Bacon is a Professional Counselor based in Missoula, MT and is specialized in Professional. Graham Bacon practices in Missoula, MT and has the professional credentials of PCLC. The NPI Number for Graham Bacon is 1871299453 and holds a License No. BBH-PCLC-LIC-56841 (Montana).

The current practice location address for Graham Bacon is 1724 Fairview Ave Ste A, Missoula, MT and can be reached out via phone at 406-214-3810.

Location: 1724 Fairview Ave Ste A, Missoula, MT, 59801-7873
person
Provider Profile Details
NPI Number
1871299453
Provider Name
Graham Bacon
Credential
PCLC
Provider Entity Type
Individual
Gender
Male
Address
1724 Fairview Ave Ste A, Missoula, MT, 59801-7873
Phone Number
406-214-3810
Fax Number
Provider Enumeration Date
02/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1724 Fairview Ave Ste A
City
State
Zip
59801-7873
Phone Number
406-214-3810
Fax Number
person
Provider Business Mailing Address Details
Address
1724 Fairview Ave Ste A
City
State
Zip
59801-7873
Phone Number
406-214-3810
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
BBH-PCLC-LIC-56841 (Montana)
Definition
Definition to come...
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