Individual
MS. RACHEL BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP8408
MD
101YP2500X
Professional Counselor
Primary
LC10044
MD
101YP2500X
Professional Counselor
PC018040
PA
Other
Enumeration date
01/14/2018
Last updated
04/09/2025
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