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JENNIE BACON

Counselor

NPI: 1952016701Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

LPC-8077(ID)

Contact & Hours

Address
1519 N MAIN ST # 110
MERIDIAN, ID 83642

Quick Facts

NPI
1952016701
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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