Jennie Bacon is a Counselor based in Boise, ID. Jennie Bacon practices in Meridian, ID. The NPI Number for Jennie Bacon is 1952016701 and holds a License No. LPC-8077 (Idaho).
The current practice location address for Jennie Bacon is 1519 N Main St # 110, Meridian, ID and can be reached out via phone at 208-724-8284.
Location: 1519 N Main St # 110, Meridian, ID, 83706-6599
Provider Profile Details
NPI Number
1952016701
Provider Name
Jennie Bacon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1519 N Main St # 110, Meridian, ID, 83706-6599
Phone Number
208-724-8284
Fax Number
Provider Enumeration Date
01/17/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1519 N Main St # 110
City
State
Zip
83642-1717
Phone Number
208-724-8284
Fax Number
Provider Business Mailing Address Details
Address
1519 N Main St # 110
City
State
Zip
83642-1717
Phone Number
208-724-8284
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
LPC-8077 (Idaho)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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